LORI ANNE WISE CPNP
NPI 1912096249
Nurse Practitioner - Pediatrics in Roanoke, VA
About Lori Anne Wise Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI ANNE WISE CPNP (NPI 1912096249) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0024178297) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lori Anne Wise Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lori Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roanoke, VA 24014
- Reassigned Medicare billing, Virginia enrollment
- 1,207 clinicians in this Medicare group
Greer, SC 29650
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROANOKE, VA 24018
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 Lori Wise's NPI number?
The NPI number for Lori Wise is 1912096249. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is Lori Wise located?
Lori Wise practices at 4348 Electric Rd, Roanoke, VA 24018. The listed phone number is (540) 769-0976.
What is Lori Wise's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Lori Wise enrolled in Medicare?
Yes. Lori Wise is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lori Wise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Wise reassigns Medicare benefits to 2 organizations: Carilion Medical Center (Roanoke, VA) and Prisma Health University Medical Group (Greer, SC). 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 Lori Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lori Wise was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lori Anne Wise, CPNP · NPI 1912096249
Pediatrics physician in Roanoke, Virginia. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1912096249 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 0024178297 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4348 ELECTRIC RD, Roanoke, VA 24018-0720
- **Phone:** (540) 769-0976 · **Fax:** (540) 857-5386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carilion Medical Center (NPI 1114399276, Roanoke, VA); Prisma Health University Medical Group (NPI 1003619313, Greer, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2022
- **Other identifiers:** Medicaid NP2014 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1912096249) · Data from the CMS NPPES public registry.