JACQUELINE NICOLE WISE ARNP
NPI 1609115773
Nurse Practitioner - Family in Bowling Green, KY

Q: What is Jacqueline Wise's NPI number?

The NPI number for Jacqueline Wise is 1609115773. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Q: What is Jacqueline Wise's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wise was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 08, 2013PECOS Enrolled

225 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103(270) 783-3573(270) 783-4081 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Nicole Wise Arnp NPPES

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

JACQUELINE NICOLE WISE ARNP (NPI 1609115773) is an individual family provider in Bowling Green, Kentucky, licensed in Kentucky (3007899) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609115773

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE NICOLE WISECredential: ARNP

Location Address225 NATCHEZ TRACE AVEBowling Green, KY 42103-7995

Mailing Address225 Natchez Trace AveBowling Green, KY 42103-7995 · (270) 783-3573 · Fax (270) 783-4081

Phone(270) 783-3573

Fax(270) 783-4081

Sole ProprietorNo

Enumeration DateFebruary 8, 2013

Last NPPES UpdateAugust 2, 2019

✔ NPI 1609115773 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 KY · 3007899

225 NATCHEZ TRACE AVE, Bowling Green, KY 42103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 (PECOS)

Jacqueline Nicole Wise Arnp 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 42103 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 11

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

MACKENZIE CAREY

Nurse Practitioner