TINA MICHELLE WISDOM
NPI 1881234045
Nurse Practitioner - Psychiatric/Mental Health in Edinburg, TX

Q: What is Tina Wisdom's NPI number?

The NPI number for Tina Wisdom is 1881234045. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Q: What is Tina Wisdom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Wisdom was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment

609 N JACKSON RD, EDINBURG, TX 78541(956) 600-7807 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Jan 15, 2020 (2 updates tracked since 2020).

On this page

About Tina Michelle Wisdom NPPES

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

TINA MICHELLE WISDOM (NPI 1881234045) is an individual psychiatric/mental health provider in Edinburg, Texas, licensed in Texas (AP144244) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881234045

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTINA MICHELLE WISDOM

Location Address609 N JACKSON RDEdinburg, TX 78541-2851

Mailing Address609 N Jackson RdEdinburg, TX 78541-2851 · (956) 600-7807

Phone(956) 600-7807

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 15, 2020

Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2024

✔ NPI 1881234045 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 TX · AP144244

609 N JACKSON RD, Edinburg, TX 78541

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Tina Michelle 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 ID5991129199

PECOS Enrollment IDI20200720000271

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

92 services32 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78541 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

MR. ROBERT S MAREZ PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

609 N JACKSON RD
EDINBURG, TX 78541

Hidalgo County (956) 600-7807

MISS JERALEAH BOYLES

Physician Assistant

609 N JACKSON RD
EDINBURG, TX 78541

Hidalgo County (956) 600-7807

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 Tina Wisdom's NPI number?

The NPI number for Tina Wisdom is 1881234045. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Tina Wisdom located?

Tina Wisdom practices at 609 N Jackson Rd, Edinburg, TX 78541. The listed phone number is (956) 600-7807.

What is Tina Wisdom's specialty?

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

Is Tina Wisdom enrolled in Medicare?

Yes. Tina 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 Tina Wisdom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tina 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 Tina Wisdom was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.