Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY LYN WISE ARPN-CNP, PMHNP-BC
NPI 1750167607
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
5510 S FORT APACHE RD STE 27, LAS VEGAS, NV 89148(702) 604-2498(702) 297-6538 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2026, May 25, 2026, May 29, 2025 and 2 more (5 updates tracked since 2023).

About Amy Lyn Wise Arpn-cnp, Pmhnp-bc NPPES

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

AMY LYN WISE ARPN-CNP, PMHNP-BC (NPI 1750167607) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (868856) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1750167607
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY LYN WISECredential: ARPN-CNP, PMHNP-BC
Location Address5510 S FORT APACHE RD STE 27Las Vegas, NV 89148-7700
Mailing Address5510 S Fort Apache Rd Ste 27Las Vegas, NV 89148-7700 · (702) 604-2498 · Fax (702) 297-6538
Fax(702) 297-6538
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateSeptember 6, 2023
Last NPPES UpdateOctober 11, 20265 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1750167607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NV · 868856
5510 S FORT APACHE RD STE 27, Las Vegas, NV 89148

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

Amy Lyn Wise Arpn-cnp, Pmhnp-bc 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 ID1052855491
PECOS Enrollment IDI20240626004637
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 Reassignments

3

Medicare enrollment records show Amy Wise reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
5510 S FORT APACHE RD
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
Psychiatry
4029 DEAN MARTIN DR
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 19 clinicians in this Medicare group
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, Nevada enrollment
  • 12 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 89148 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Amy Wise's NPI number?

The NPI number for Amy Wise is 1750167607. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Amy Wise located?

Amy Wise practices at 5510 S Fort Apache Rd Ste 27, Las Vegas, NV 89148. The listed phone number is (702) 604-2498.

What is Amy Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Wise enrolled in Medicare?

Yes. Amy Wise 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 organizations bill Medicare for Amy Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wise reassigns Medicare benefits to 3 organizations: Meridian Counseling Services, LLC (Las Vegas, NV), Anywhere Clinic LLC (Las Vegas, NV) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). Each 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 Amy Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Wise accept?

Health plans from Ambetter from Arizona Complete Health list Amy 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 Amy Wise was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.