Individual provider Active NPI

Sarah Elizabeth Wise, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1306553128
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2361500 Issued in MA
Practice address
200 Chauncy St Ste 208
Mansfield, MA 02048-1200
Phone
(508) 568-6194
NPI assigned
Nov 1, 2022
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2361500 MA Primary

Addresses

Primary practice location

200 Chauncy St Ste 208
Mansfield, MA 02048-1200

Mailing address

200 Chauncy St Ste 208
Mansfield, MA 02048-1200
Phone (508) 568-6194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230105002998 NJ Practitioner - Nurse Practitioner 0941670012 Reassigns benefits to 1 organization
I20231220001969 MA Practitioner - Nurse Practitioner 0941670012 Reassigns benefits to 1 organization
I20260615002335 TX Practitioner - Nurse Practitioner 0941670012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1203677TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnicle Behavioral Health, LLC CurrentSince Nov 1, 2022 Accepting new patients
Valeo Behavioral Health, Inc. CurrentSince Nov 10, 2022 Accepting new patients
Coastal Medical Associates CurrentSince Jan 1, 2024 Accepting new patients

Locations

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

2911 Route 88
Ste E8
Point Pleasant Boro, NJ 08742
Phone (732) 295-1008

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1306553128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST STE 208",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-568-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST STE 208",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-568-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2361500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.