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KRISTINA WISE
NPI 1720155492
Social Worker - Clinical in Fort Wayne, IN

Active since November 29, 2006PECOS Enrolled
203 W WAYNE ST STE 317, FORT WAYNE, IN 46802(260) 333-9703 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1720155492
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA WISE
Location Address203 W WAYNE ST STE 317Fort Wayne, IN 46802
Mailing Address203 W Wayne St Ste 317Fort Wayne, IN 46802-3610 · (260) 333-9703
Phone(260) 333-9703
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 6, 2018
✔ NPI 1720155492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008004A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
203 W WAYNE ST STE 317, Fort Wayne, IN 46802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Wise 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 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.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

ALLY COUNSELING & CONSULTING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802
Allen County (260) 333-9703
JUNE WELLNESS LLC
Social Worker (Clinical)
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802
Allen County (260) 333-9703
MS. MARY KATHLEEN AGUILAR MSW, LCSW
Social Worker (Clinical)
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802
Allen County (260) 333-9703

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.

What insurance does Kristina Wise accept?

Health plans from CareSource 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.