MR. JONATHAN RICHARD WIESE AGNP
NPI 1487130746
Nurse Practitioner - Primary Care in Saint Louis, MO
About Mr. Jonathan Richard Wiese Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JONATHAN RICHARD WIESE AGNP (NPI 1487130746) is an individual primary care provider in Saint Louis, Missouri, licensed in Missouri (2024008621) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jonathan Richard Wiese Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Wiese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 236 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,407 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Wiese's NPI number?
The NPI number for Jonathan Wiese is 1487130746. It was assigned to this individual provider in the NPPES registry on July 19, 2018.
Where is Jonathan Wiese located?
Jonathan Wiese practices at 4921 Parkview Pl Div Neurology Stroke, Ste 6C, Saint Louis, MO 63110. The listed phone number is (314) 362-7382.
What is Jonathan Wiese's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jonathan Wiese enrolled in Medicare?
Yes. Jonathan Wiese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonathan Wiese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wiese reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Tmh Physician Associates PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wiese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Wiese accept?
Health plans from UnitedHealthcare list Jonathan Wiese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonathan Wiese was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jonathan Richard Wiese, AGNP · NPI 1487130746
Primary Care physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 19, 2018.
## Identity
- **NPI:** 1487130746 (Entity type: Individual)
- **Enumerated:** July 19, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 2024008621 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4921 PARKVIEW PL, DIV NEUROLOGY STROKE, STE 6C, Saint Louis, MO 63110-1032
- **Phone:** (314) 362-7382 · **Fax:** (314) 747-3342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1356382527, Saint Louis, MO); Tmh Physician Associates PLLC (NPI 1275779225, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 420141831 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1487130746) · Data from the CMS NPPES public registry.