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ALISHA YVON WISE
NPI 1588239180
Nurse Practitioner - Family in Jacksonville, FL

Active since May 25, 2021PECOS Enrolled
4475 SAN JUAN AVE # 1114, JACKSONVILLE, FL 32210(904) 389-0314 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alisha Yvon Wise NPPES

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

ALISHA YVON WISE (NPI 1588239180) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11009959) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588239180
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISHA YVON WISE
Location Address4475 SAN JUAN AVE # 1114Jacksonville, FL 32210-3357
Mailing Address11544 Pleasant Creek DrJacksonville, FL 32218-7562
Phone(904) 389-0314
Sole ProprietorNo
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1588239180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11009959
4475 SAN JUAN AVE # 1114, Jacksonville, FL 32210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisha Yvon Wise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alisha Wise's NPI number?

The NPI number for Alisha Wise is 1588239180. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Alisha Wise located?

Alisha Wise practices at 4475 San Juan Ave # 1114, Jacksonville, FL 32210. The listed phone number is (904) 389-0314.

What is Alisha Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alisha Wise enrolled in Medicare?

Yes. Alisha Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisha Wise was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.