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WISE PATIENT INTERNAL MEDICINE
NPI 1568720126
Internal Medicine in Seattle, WA

Active since May 01, 2012CLIA 50D2041865 · Waiver
613 19TH AVE E, STE 201, SEATTLE, WA 98112(206) 437-2884 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wise Patient Internal Medicine NPPES

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

WISE PATIENT INTERNAL MEDICINE (NPI 1568720126) is a healthcare organization registered as an internal medicine in Seattle, Washington and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sam Warren, Ceo, Founder, as its authorized official.

NPPES Registry Identity

NPI1568720126
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWISE PATIENT INTERNAL MEDICINE
Location Address613 19TH AVE E, STE 201Seattle, WA 98112-4075
Mailing Address613 19th Ave E, Suite 201Seattle, WA 98112-4075 · (206) 466-5937 · Fax (206) 535-8844
Phone(206) 437-2884
Organization SubpartNo
Authorized OfficialSam WarrenCeo, Founder · (206) 466-5937
Enumeration DateMay 1, 2012
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1568720126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · 41388
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
613 19TH AVE E, Seattle, WA 98112
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wise Patient Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wise Patient Internal Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jodie Wohl, M.D.
Family Practice
NPI 1942373824
9245 RAINIER AVE S
Seattle, WA 98118
(206) 722-8444
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2041865

Wise Patient Internal Medicine · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2041865
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSamuel Warren
Laboratory Phone(206) 466-5837
Laboratory LocationWise Patient Internal Medicine613 19th Ave E Ste 100, Seattle, WA 98112
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Wise Patient Internal Medicine's NPI number?

The NPI number for Wise Patient Internal Medicine is 1568720126. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is Wise Patient Internal Medicine located?

Wise Patient Internal Medicine is located at 613 19th Ave E Ste 201, Seattle, WA 98112. The listed phone number is (206) 437-2884.

What is Wise Patient Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wise Patient Internal Medicine enrolled in Medicare?

Yes. Wise Patient Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wise Patient Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wise Patient Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wise Patient Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2041865) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wise Patient Internal Medicine accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Wise Patient Internal Medicine 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 Wise Patient Internal Medicine was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.