JACLYN WISE PA-C
NPI 1972806339
Physician Assistant in Fort Myers, FL
About Jaclyn Wise Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN WISE PA-C (NPI 1972806339) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9120414) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Jaclyn Wise Pa-c 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33912
FORT MYERS, FL 33912
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 Jaclyn Wise's NPI number?
The NPI number for Jaclyn Wise is 1972806339. It was assigned to this individual provider in the NPPES registry on December 7, 2010.
Where is Jaclyn Wise located?
Jaclyn Wise practices at 9617 Gulf Research Ln, Fort Myers, FL 33912. The listed phone number is (239) 418-0999.
What is Jaclyn Wise's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jaclyn Wise enrolled in Medicare?
Yes. Jaclyn 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.
What insurance does Jaclyn Wise accept?
Health plans from Blue Cross and Blue Shield of NC, Providence Health Plan and UnitedHealthcare list Jaclyn Wise 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 Jaclyn Wise was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jaclyn Wise, PA-C · NPI 1972806339
Physician Assistant physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since December 7, 2010.
## Identity
- **NPI:** 1972806339 (Entity type: Individual)
- **Enumerated:** December 7, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9120414 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 9617 GULF RESEARCH LN, Fort Myers, FL 33912-4560
- **Phone:** (239) 418-0999 · **Fax:** (239) 418-0091
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 28, 2026
- **Other identifiers:** Medicaid 016281900 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1972806339) · Data from the CMS NPPES public registry.