LORI ANNE WISE CPNP
NPI 1912096249
Nurse Practitioner - Pediatrics in Roanoke, VA

Q: 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.

Q: What is Lori Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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.

Active since October 12, 2006PECOS Enrolled

4348 ELECTRIC RD, ROANOKE, VA 24018(540) 769-0976(540) 857-5386 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Nov 2, 2021, Dec 12, 2019 and 1 more (4 updates tracked since 2018).

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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

NPI1912096249

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLORI ANNE WISECredential: CPNP

Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715

Phone(540) 769-0976

Fax(540) 857-5386

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateAugust 8, 20224 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1912096249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in VA · 0024178297✔ Licensed in SC · 17778

4348 ELECTRIC RD, Roanoke, VA 24018

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Other Identifiers 1

MedicaidNP2014SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Anne Wise Cpnp 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 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.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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

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

2 suppliers12 claims12 services$178.68 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 20

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

ALISON ENSOR DUNN MD

Pediatrics