KRISTINA WISE
NPI 1720155492
Social Worker - Clinical in Fort Wayne, IN
About Kristina Wise NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA WISE (NPI 1720155492) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34008004A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Wise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46802
- Reassigned Medicare billing, Indiana enrollment
- 63 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 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
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 Kristina Wise's NPI number?
The NPI number for Kristina Wise is 1720155492. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Kristina Wise located?
Kristina Wise practices at 203 W Wayne St Ste 317, Fort Wayne, IN 46802. The listed phone number is (260) 333-9703.
What is Kristina Wise's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kristina Wise enrolled in Medicare?
Yes. Kristina Wise is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Wise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Wise reassigns Medicare benefits to Alliance Health Centers, Inc. (Fort Wayne, IN). The 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 Kristina Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Wise accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kristina Wise 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 Kristina Wise was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kristina Wise · NPI 1720155492
Clinical provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1720155492 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34008004A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 203 W WAYNE ST STE 317, Fort Wayne, IN 46802
- **Phone:** (260) 333-9703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Alliance Health Centers, Inc. (NPI 1588347546, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720155492) · Data from the CMS NPPES public registry.