MRS. JESSICA NICOLE WISDOM CRNP
NPI 1811628639
Nurse Practitioner - Family in Dothan, AL

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
201 DOCTORS DR, DOTHAN, AL 36301(334) 794-6611 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jessica Nicole Wisdom Crnp NPPES

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

MRS. JESSICA NICOLE WISDOM CRNP (NPI 1811628639) is an individual family provider in Dothan, Alabama, licensed in Alabama (169890) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811628639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA NICOLE WISDOMCredential: CRNP
Location Address201 DOCTORS DRDothan, AL 36301-2949
Mailing Address1601 Tacoma StDothan, AL 36303-3273 · (334) 797-8573
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1811628639 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 AL · 169890
201 DOCTORS DR, Dothan, AL 36301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Nicole Wisdom Crnp 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 ID2668855040
PECOS Enrollment IDI20220817002758
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 36301 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier55 claims55 services$183.93 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier21 claims21 services$186.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Primary Care)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Acute Care)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301
Internal Medicine
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301

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 Jessica Wisdom's NPI number?

The NPI number for Jessica Wisdom is 1811628639. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Jessica Wisdom located?

Jessica Wisdom practices at 201 Doctors Dr, Dothan, AL 36301. The listed phone number is (334) 794-6611.

What is Jessica Wisdom's specialty?

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

Is Jessica Wisdom enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Wisdom accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jessica 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 Jessica Wisdom was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.