MR. JOHN ANTHONY WISE FNP-C
NPI 1659828663
Nurse Practitioner - Family in Southfield, MI

Q: What is John Wise's NPI number?

The NPI number for John Wise is 1659828663. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is John 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 John Wise was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 07, 2016PECOS Enrolled

21540 W 11 MILE RD, STE 200, SOUTHFIELD, MI 48076(248) 352-2000(248) 352-8800 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. John Anthony Wise Fnp-c NPPES

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

MR. JOHN ANTHONY WISE FNP-C (NPI 1659828663) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704323970) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659828663

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JOHN ANTHONY WISECredential: FNP-C

Location Address21540 W 11 MILE RD, STE 200Southfield, MI 48076-3843

Mailing Address13033 Diversey StDearborn, MI 48126-1152 · (248) 352-2000

Phone(248) 352-2000

Fax(248) 352-8800

Sole ProprietorNo

Enumeration DateSeptember 7, 2016

Last NPPES UpdateOctober 6, 2016

✔ NPI 1659828663 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

Licenses✔ Licensed in MI · 4704323970✔ Licensed in CA · 95002731

21540 W 11 MILE RD, Southfield, MI 48076

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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)

Mr. John Anthony Wise Fnp-c 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 48076 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 7

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

VISITING PODIATRY PLLC

Podiatrist (Primary Podiatric Medicine)

21540 W 11 MILE RD, STE 150
SOUTHFIELD, MI 48076

Oakland County (248) 213-6680

CYNTHIA D MUHAMMAD NP

Nurse Practitioner (Family)

21540 W 11 MILE RD, SUITE 200
SOUTHFIELD, MI 48076

Oakland County (248) 352-2000

AYA OMAR SAEB MD

Internal Medicine

21540 W 11 MILE RD, STE 200
SOUTHFIELD, MI 48076

Oakland County (630) 935-3862

DR. RAMIN RAFIE MD

Family Medicine

21540 W 11 MILE RD, SUITE 200
SOUTHFIELD, MI 48076

Oakland County (248) 352-2000

DR. FRANK AMPRIM M.D.

Family Medicine

21540 W 11 MILE RD, SUITE# 200
SOUTHFIELD, MI 48076

Oakland County (248) 352-2000

SHIVAKUMAR DEVA MD

Internal Medicine

21540 W 11 MILE RD, STE 200
SOUTHFIELD, MI 48076

Oakland County (248) 352-2000

VPA PC

Family Medicine

21540 W 11 MILE RD, STE .200
SOUTHFIELD, MI 48076

Oakland County (248) 352-2000

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 John Wise's NPI number?

The NPI number for John Wise is 1659828663. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is John Wise located?

John Wise practices at 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076. The listed phone number is (248) 352-2000.

What is John Wise's specialty?

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

Is John Wise enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Wise was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.