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

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: October 25, 2026.

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

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
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

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tina Wisdom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 480 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 435 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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
609 N JACKSON RD
EDINBURG, TX 78541
Physician Assistant
609 N JACKSON RD
EDINBURG, TX 78541

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.

Which organizations bill Medicare for Tina Wisdom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Wisdom reassigns Medicare benefits to 2 organizations: Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Tina Wisdom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Wisdom accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and Moda Health Plan, Inc. and 4 other insurers 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.