ANNA WISDOM
NPI 1730982679
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 28, 2025PECOS EnrolledAccepts Medicare Assignment
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(206) 743-1397 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Wisdom NPPES

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

ANNA WISDOM (NPI 1730982679) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2025).

NPPES Registry Identity

NPI1730982679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNA WISDOM
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address21918 49th Ave SeBothell, WA 98021-8044
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2025
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1730982679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239

Accepted Insurance

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

Anna Wisdom 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 ID4385109818
PECOS Enrollment IDI20260724001479
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.

Medicare Billing Reassignment

Medicare enrollment records show Anna Wisdom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
14841 179TH AVE SE, SUITE 110
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 7 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.

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.

Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239

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 Anna Wisdom's NPI number?

The NPI number for Anna Wisdom is 1730982679. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Anna Wisdom located?

Anna Wisdom practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (206) 743-1397.

What is Anna Wisdom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anna Wisdom enrolled in Medicare?

Yes. Anna Wisdom 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 organization bills Medicare for Anna Wisdom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Wisdom reassigns Medicare benefits to Monroe Vision Clinic, Inc (Monroe, WA). 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 Anna Wisdom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Wisdom accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anna Wisdom 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 Anna Wisdom was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.