ANNE-MARIE WISE
NPI 1639555428
Nurse Practitioner - Women's Health in Mineola, NY
About Anne-marie Wise NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE-MARIE WISE (NPI 1639555428) is an individual women's health provider in Mineola, New York, licensed in New York (421221) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anne-marie Wise 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.
Medicare Billing Reassignments
2Medicare enrollment records show Anne-marie Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, NY 11797
- Reassigned Medicare billing, New York enrollment
- 80 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Anne-marie Wise's NPI number?
The NPI number for Anne-marie Wise is 1639555428. It was assigned to this individual provider in the NPPES registry on August 4, 2015.
Where is Anne-marie Wise located?
Anne-marie Wise practices at 120 Mineola Blvd Suite 100, Mineola, NY 11501. The listed phone number is (516) 663-6925.
What is Anne-marie Wise's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Anne-marie Wise enrolled in Medicare?
Yes. Anne-marie 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.
Which organizations bill Medicare for Anne-marie Wise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne-marie Wise reassigns Medicare benefits to 2 organizations: Square Care Medical Group, LLP (Woodbury, NY) and New York University (Boynton Beach, FL). Each 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 Anne-marie Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anne-marie Wise was last updated on April 2, 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.
# Anne-Marie Wise · NPI 1639555428
Women's Health physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1639555428 (Entity type: Individual)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 421221 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 MINEOLA BLVD, SUITE 100, Mineola, NY 11501-4064
- **Phone:** (516) 663-6925 · **Fax:** (516) 663-4821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Square Care Medical Group, LLP (NPI 1457392763, Woodbury, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639555428) · Data from the CMS NPPES public registry.