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DALLAS MCKENZIE WISE CRNA
NPI 1962944009
Nurse Anesthetist, Certified Registered in Orangeburg, SC

Active since November 07, 2016Accepts Medicare Assignment
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118(803) 533-2200 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2017, Nov 7, 2016 (2 updates tracked since 2016).

About Dallas Mckenzie Wise Crna NPPES

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

DALLAS MCKENZIE WISE CRNA (NPI 1962944009) is an individual nurse anesthetist, certified registered in Orangeburg, South Carolina, licensed in South Carolina (21068) and active in the NPI registry since November 2016. She is affiliated with Musc Medical Center, maintains a secondary practice location in Greenville, and is a graduate of University Of South Carolina School Of Medicine (2022).

NPPES Registry Identity

NPI1962944009
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDALLAS MCKENZIE WISECredential: CRNA
Location Address3000 SAINT MATTHEWS RDOrangeburg, SC 29118-1442
Mailing Address3000 Saint Matthews RdOrangeburg, SC 29118-1442
Phone(803) 533-2200
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2022
Enumeration DateNovember 7, 2016
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1962944009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · 21068
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 217912 (SC)
3000 SAINT MATTHEWS RD, Orangeburg, SC 29118
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Secondary Practice Location 1

Location 17 Independence Pt Ste 300Greenville, SC 29615-4569 · Phone (864) 522-3700 · Fax (864) 522-3705

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

Dallas Mckenzie Wise Crna 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 ID5799056685
PECOS Enrollment IDI20170810003811

Medicare Billing Reassignments

7

Medicare enrollment records show Dallas Wise reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians
20 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Sc Anesthesiology LLC
34 mi
Nurse Anesthetist, Certified Registered
1520 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 34 clinicians in this Medicare group
NPI 1205109428 (706) 623-6699
Prisma Health University Medical Group
34 mi
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1982292843 (864) 522-8615
Amsurg Columbia Anesthesia LLC
34 mi
Nurse Anesthetist, Certified Registered
2739 LAUREL ST, SUITE 1B
Columbia, SC 29204
  • Reassigned Medicare billing, South Carolina enrollment
  • 30 clinicians in this Medicare group
NPI 1164765723 (803) 254-9688
Atlantic Coast Anesthesia Services P.C.
117 mi
Anesthesiology
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Atlantic Coast Anesthesia Services PC
  • 258 clinicians in this Medicare group
NPI 1932641313 (843) 692-1000
Beach Anesthesia, LLC
117 mi
Anesthesiology
1021 MEDICAL CIRCLE, SUITE 100
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 272 clinicians in this Medicare group
NPI 1215061429 (843) 692-1062
Access Care Anesthesia Of North Carolina PLLC
196 mi
Anesthesiology
2501 WESTON PKWY STE 201
Cary, NC 27513
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1043080732 (919) 677-9729

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29118 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 20

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

MR. HAROLD WILLIAM ALLERTON CRNA
Nurse Anesthetist, Certified Registered
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2200
MONICA MONIQUE JOHNSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2200
DR. JEREMY PAUL SKOTKO M.D.
Emergency Medicine
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2200
DR. MATTHEW LYNN BLACKBURN M.D.
Emergency Medicine
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2205
JOHN E SHIPPEY MD PA
Pathology (Anatomic Pathology & Clinical Pathology)
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (864) 322-4167
DR. PRUDENCE C MBU MD
Internal Medicine
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2200
MR. WILLIAM E CAWTHON C.R.N.A
Nurse Anesthetist, Certified Registered
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2200
SHAQUILLE AKEEM TERRY
Nurse Practitioner (Family)
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Orangeburg County (803) 395-2344

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 Dallas Wise's NPI number?

The NPI number for Dallas Wise is 1962944009. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Dallas Wise located?

Dallas Wise practices at 3000 Saint Matthews Rd, Orangeburg, SC 29118. The listed phone number is (803) 533-2200.

What is Dallas Wise's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dallas Wise enrolled in Medicare?

Yes. Dallas Wise 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 Dallas Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Wise reassigns Medicare benefits to 7 organizations: Musc Community Physicians (Bamberg, SC), Sc Anesthesiology LLC (Columbia, SC), Prisma Health University Medical Group (Columbia, SC), Amsurg Columbia Anesthesia LLC (Columbia, SC), Atlantic Coast Anesthesia Services P.C. (Myrtle Beach, SC) and 2 more organizations, listed in the Medicare section above. 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 Dallas Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dallas Wise affiliated with any hospitals?

According to CMS data, Dallas Wise is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Dallas Wise was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.