Heather Wise, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024179652 Issued in VA

Practice address

1111 S Jefferson St Ste B
Roanoke, VA 24016-4724

Phone

(540) 769-3964

NPI assigned

Apr 12, 2019

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Jarrell Former name

Medicare fee-for-service enrollment

Enrolled in VA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245
  Medicare reassignment Care Compare group
• Lawson Family Medicine and Aesthetics LLC

  dba Lawson Family Medicine & Aesthetics

  • Family Medicine Physician
  • Daleville, VA
  • NPI 1386978872
  NPD (past)
• Virginia CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17937

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1306309570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-566-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S JEFFERSON ST STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164724",
            "telephone_number": "540-769-3964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3053 Nutley Street",
            "address_2": "Clinic #1399",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "703-560-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JARRELL",
            "credential": "HEATHER CRAFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis Lee Wininger, DNP, APRN, FNP-BC
• Andrew Meade Winn Sr., MD
• Erin Cathleen Winter, FNP-C
• Carrie R Winterhoff, OTR-L
• Wisdom on the Rise
• Lori Anne Wise, CPNP
• Dottie L Wiseman
• Dustie Lynn Wiser, FNP
• Leigh Ann Wiser, LPC
• Ashley Witcher, COTA/L

• Family Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.