STEPHANIE POLING WISE
NPI 1669865911
Nurse Anesthetist, Certified Registered in Edgewood, KY

Active since March 11, 2015Accepts Medicare Assignment
90.38/100
CMS Quality Rating
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017(859) 301-2211 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Poling Wise NPPES

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

STEPHANIE POLING WISE (NPI 1669865911) is an individual nurse anesthetist, certified registered in Edgewood, Kentucky, licensed in Kentucky (3009532) and active in the NPI registry since March 2015. She is affiliated with Mercy Health - Clermont Hospital and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669865911
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE POLING WISE
Location Address20 MEDICAL VILLAGE DR, SUITE 258Edgewood, KY 41017-5401
Mailing Address20 Medical Village Dr, Suite 258Edgewood, KY 41017-5401
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 11, 2015
Last NPPES UpdateJuly 15, 2015
NPI 1669865911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in KY · 3009532
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

20 MEDICAL VILLAGE DR, Edgewood, KY 41017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Poling 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.

PECOS PAC ID4587979570
PECOS Enrollment IDI20230120001863

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Durable Medical Equipment & Medical Supplies
20 MEDICAL VILLAGE DR, SUITE 103
EDGEWOOD, KY 41017
Anesthesiology
20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSC
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR, SUITE 258
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, SUITE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, SUITE 102
EDGEWOOD, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669865911, enumerated as an "individual" on March 11, 2015.

The provider is located at 20 MEDICAL VILLAGE DR SUITE 258 EDGEWOOD, KY 41017 and the phone number is (859) 301-2211.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Stephanie Wise is affiliated with: MERCY HEALTH - CLERMONT HOSPITAL.