MEDWISE LLC
NPI 1629604434
Clinic/Center - Urgent Care in Coweta, OK
About Medwise Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDWISE LLC (NPI 1629604434) is a healthcare organization registered as an urgent care in Coweta, Oklahoma and active in the NPI registry since March 2020. The organization lists Dennis Sidney Blackstad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Medwise Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Medwise LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 30Tulsa, OK 74136
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medwise LLC's NPI number?
The NPI number for Medwise LLC is 1629604434. It was assigned to this organization in the NPPES registry on March 13, 2020.
Where is Medwise LLC located?
Medwise LLC is located at 11495 S. State Highway 51, Coweta, OK 74429. The listed phone number is (225) 936-9186.
What is Medwise LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Medwise LLC enrolled in Medicare?
Yes. Medwise LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medwise LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Medwise LLC. 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. The largest specialties are Nurse Practitioner (20), Family Practice (8) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Medwise LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Medwise LLC 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 Medwise LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Medwise Llc · NPI 1629604434
Urgent Care organization in Coweta, Oklahoma. Organization record, active in the CMS NPPES registry since March 13, 2020.
## Identity
- **NPI:** 1629604434 (Entity type: Organization)
- **Enumerated:** March 13, 2020
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Dennis Blackstad, PRESIDENT
## Practice location
- **Address:** 11495 S. STATE HIGHWAY 51, Coweta, OK 74429
- **Phone:** (225) 936-9186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Family Practice (8), Emergency Medicine (1); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1629604434/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629604434) · Data from the CMS NPPES public registry.