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JOEL WISE PA
NPI 1548752744
Physician Assistant - Surgical in Fort Worth, TX

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
1325 PENNSYLVANIA AVE STE 680, FORT WORTH, TX 76104(817) 250-4235(817) 885-7701 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel Wise Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOEL WISE PA (NPI 1548752744) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA12151) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Comanche County Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548752744
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOEL WISECredential: PA
Location Address1325 PENNSYLVANIA AVE STE 680Fort Worth, TX 76104
Mailing Address1325 Pennsylvania Ave Ste 680Fort Worth, TX 76104-2133 · (817) 250-4235 · Fax (817) 885-7701
Phone(817) 250-4235
Fax(817) 885-7701
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateAugust 2, 2018
✔ NPI 1548752744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA12151
1325 PENNSYLVANIA AVE STE 680, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joel Wise Pa 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.

PECOS PAC ID7416206149
PECOS Enrollment IDI20180814001508
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Comanche County Medical Center

Critical Access Hospitals · Comanche, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451382
Location10201 Hwy 16Comanche, TX 76442 · Comanche County
Emergency services

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAHIM SINDHWANI PA-C
Physician Assistant
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235
ASHLEY MARIE HINES PA-C
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235
CHARLES ADGER WEST JR. M.D.
Surgery (Vascular Surgery)
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235
JULIA B SULLIVAN RD, LD, MPAS, PA-C
Physician Assistant
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235
DR. JONATHAN S. DEITCH M.D.
Surgery (Vascular Surgery)
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235
DIANA O'REILLY PA-C
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX 76104
Tarrant County (817) 250-4235

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 Joel Wise's NPI number?

The NPI number for Joel Wise is 1548752744. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Joel Wise located?

Joel Wise practices at 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104. The listed phone number is (817) 250-4235.

What is Joel Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Joel Wise enrolled in Medicare?

Yes. Joel Wise 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.

What insurance does Joel Wise accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Joel Wise 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.

Is Joel Wise affiliated with any hospitals?

According to CMS data, Joel Wise is affiliated with Comanche County Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Wise was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.