Individual provider Active NPI

Barbara Louise Wise, CNP

  • Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1154355675
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 189036 Issued in OH
Practice address
231 N Breiel Blvd
Middletown, OH 45042-3807
Phone
(513) 318-1188
Fax
(513) 318-1189
NPI assigned
Jul 10, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 189036 OH Primary

Addresses

Primary practice location

231 N Breiel Blvd
Middletown, OH 45042-3807

Mailing address

2351 Stanley Ave
Dayton, OH 45404-1201
Phone (937) 228-0990

Other practice location 1

333 Conover Dr Ste B
Franklin, OH 45005-1900
Phone (513) 318-1188

Other practice location 2

2351 Stanley Ave
Dayton, OH 45404-1201
Phone (937) 228-0990

Other identifiers 1

IdentifierTypeStateIssuer
2027541MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address barbara.wise@centerph.eclinicaldirectplus.com Talbert House Health Center
Direct Messaging Address barbara.wise@centerph.eclinicaldirectplus.com Talbert House Health Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20080219000077 OH Practitioner - Nurse Practitioner 0446333181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 189036OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House Health Center CurrentSince Jan 12, 2019 Accepting new patients
Osama Al-Samkari M.D. Inc Past Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

231 N Breiel Blvd
Middletown, OH 45042
Phone (513) 318-1188

333 Conover Dr
Ste B
Middletown, OH 45005
Phone (513) 318-1188

3420 Atrium Blvd
Ste 102
Middletown, OH 45005

2020 Sherman Ave
Ste 202
Norwood, OH 45212
Phone (513) 318-1188

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1154355675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 STANLEY AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041201",
            "telephone_number": "937-228-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-318-1188",
            "fax_number": "513-318-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Conover Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051900",
            "country_code": "US",
            "telephone_number": "513-318-1188",
            "fax_number": "513-318-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Stanley Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041201",
            "country_code": "US",
            "telephone_number": "937-228-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "BARBARA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN 189036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027541",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.wise@centerph.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Talbert House Health Center",
            "address_1": "333 Conover Dr Ste B",
            "city": "Franklin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450051900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.wise@centerph.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Talbert House Health Center",
            "address_1": "231 N Breiel Blvd",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450423807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.