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MRS. BONNIE SUSETTE WISDOM FNP-C
NPI 1760681910
Nurse Practitioner - Family in Charles Town, WV

Active since July 17, 2007PECOS Enrolled
11065 MIDDLEWAY PIKE, CHARLES TOWN, WV 25414(304) 724-6091(304) 725-7204 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Bonnie Susette Wisdom Fnp-c NPPES

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

MRS. BONNIE SUSETTE WISDOM FNP-C (NPI 1760681910) is an individual family provider in Charles Town, West Virginia, licensed in West Virginia (62175) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760681910
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BONNIE SUSETTE WISDOMCredential: FNP-C
Location Address11065 MIDDLEWAY PIKECharles Town, WV 25414-4366
Mailing Address11065 Middleway PikeCharles Town, WV 25414-4366 · (304) 724-6091 · Fax (304) 725-7204
Phone(304) 724-6091
Fax(304) 725-7204
Sole ProprietorNo
Enumeration DateJuly 17, 2007
✔ NPI 1760681910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WV · 62175✔ Licensed in VA · 0024166327
11065 MIDDLEWAY PIKE, Charles Town, WV 25414
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Bonnie Susette Wisdom Fnp-c 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 25414 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 Bonnie Wisdom's NPI number?

The NPI number for Bonnie Wisdom is 1760681910. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Bonnie Wisdom located?

Bonnie Wisdom practices at 11065 Middleway Pike, Charles Town, WV 25414. The listed phone number is (304) 724-6091.

What is Bonnie Wisdom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bonnie Wisdom enrolled in Medicare?

Yes. Bonnie Wisdom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Wisdom was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.