Brandie Nicole Wise, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905824 Issued in MS

Practice address

961 S Gloster St
Tupelo, MS 38801-6343

Phone

(662) 377-4550

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• Clay County Medical Corporation

  • Emergency Care Clinic/Center
  • West Point, MS
  • NPI 1578670972
  Medicare reassignment NPD
• Clay County Medical Corporation

  • Ophthalmology Physician
  • West Point, MS
  • NPI 1174353247
  NPD
• Clay County Medical Corporation

  • Anesthesiology Physician
  • West Point, MS
  • NPI 1396852695
  NPD
• Clay County Medical Corporation

  • Rural Health Clinic/Center
  • West Point, MS
  • NPI 1508224312
  NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Corinth, MS
  • NPI 1366036253

  Family

  NPD
• Amory Surgery Clinic, PLLC

  • Surgery Physician
  • Amory, MS
  • NPI 1821441080
  NPD (past)
• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation
• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1134827488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016343",
            "telephone_number": "662-377-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016343",
            "telephone_number": "662-377-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "BRANDIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sloan Winestone, M.D.
• Iris Winfun
• Jennifer Winter
• Vanessa Winter, N.P.
• Emily Claire Winters, LPC
• Benjamin Ernest Wiseman, MD
• Erica Caples Witcher, RD
• With These Hands Salon LLC
• Jody Marie Witherspoon, FNP-C
• David Witty, MD

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.