Evelyn Wise, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F3024671 Issued in NY

Practice address

57 Leacliff LN
West Seneca, NY 14224-3517

Phone

(716) 845-2300

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/457/brand/1/csg/1/fhir/r4

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.

• Surgical Associates of Western Ny PC

  • Surgery Physician
  • West Seneca, NY
  • NPI 1275588600
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1194888198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LEACLIFF LN",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 LEACLIFF LN",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243517",
            "telephone_number": "716-845-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "EVELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3024671",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3024671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02099347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Wilson
• Gabrielle Wind
• Audrey Margaret Winkowski, PHARMD
• Cassie Winspear
• Kelly C Wipperman, M.S. ED., CCC-SLP
• Kristin Wisnier
• Sally Ann Witalis, RN
• Wny Gi Connection PLLC
• Wny Rehabilitation Medicine and Pain MGMT LLC
• Wny TMD & Orofacial Pain

• Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.