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CAROLYN TEMPERANCE WISE NURSE PRACTITIONER
NPI 1790208270
Nurse Practitioner - Family in Yakima, WA

Active since July 17, 2017PECOS Enrolled
3909 CREEKSIDE LOOP STE 115, YAKIMA, WA 98902(509) 574-6095(509) 574-6098 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2019, Jul 17, 2017 (2 updates tracked since 2017).

About Carolyn Temperance Wise Nurse Practitioner NPPES

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

CAROLYN TEMPERANCE WISE NURSE PRACTITIONER (NPI 1790208270) is an individual family provider in Yakima, Washington, licensed in Washington (AP60776851) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790208270
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN TEMPERANCE WISECredential: NURSE PRACTITIONER
Location Address3909 CREEKSIDE LOOP STE 115Yakima, WA 98902-4880
Mailing Address3800 Summitview AveYakima, WA 98902-2715 · (509) 248-7849 · Fax (509) 248-8291
Phone(509) 574-6095
Fax(509) 574-6098
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1790208270 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
License✔ Licensed in WA · AP60776851
3909 CREEKSIDE LOOP STE 115, Yakima, WA 98902
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

Carolyn Temperance Wise Nurse Practitioner 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 98902 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORIAL PHYSICIANS, PLLC
Clinic/Center
3909 CREEKSIDE LOOP STE 115
YAKIMA, WA 98902
Yakima County (509) 574-6095
MR. WADE ALLEN HOLDEN P.A.
Physician Assistant (Medical)
3909 CREEKSIDE LOOP STE 115
YAKIMA, WA 98902
Yakima County (509) 574-6095

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 Carolyn Wise's NPI number?

The NPI number for Carolyn Wise is 1790208270. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Carolyn Wise located?

Carolyn Wise practices at 3909 Creekside Loop Ste 115, Yakima, WA 98902. The listed phone number is (509) 574-6095.

What is Carolyn Wise's specialty?

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

Is Carolyn Wise enrolled in Medicare?

Yes. Carolyn Wise is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Wise accept?

Health plans from PacificSource Health Plans list Carolyn 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 Carolyn Wise was last updated on February 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.