Andrea Shawn Wise, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

3017990 Issued in KY

Practice address

3600 Frederica St
Owensboro, KY 42301-6981

Phone

(270) 684-0023

Fax

(270) 684-0065

NPI assigned

Jun 27, 2022

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 names 1

• Dre Shawn Wise Other name

Medicare fee-for-service enrollment

Enrolled in KY

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

Ak Healthcare Management Inc.Group PAC ID 7618015421, 6 clinicians

Ack Healthcare Management LLCGroup PAC ID 3072736602, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.11 of 100Reported as group

Quality

63.34

Promoting interoperability

100

Improvement activities

40

Cost

73.68

Medicare enrollment (NPD)

Enrolled

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.

• Ack Healthcare Management, LLC

  • Nurse Practitioner
  • Lewisport, KY
  • NPI 1154748986
  Medicare reassignment Care Compare group NPD
• Ak Healthcare Management Inc

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053644401
  Medicare reassignment Care Compare group NPD
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  Acute Care

  Medicare reassignment NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  Family

  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  Family, KY

  Medicare reassignment NPD
• Ack Healthcare Management LLC

  • Rural Health Clinic/Center
  • Leitchfield, KY
  • NPI 1356927826
  NPD
• Ack Healthcare Management LLC

  • Nurse Practitioner
  • Leitchfield, KY
  • NPI 1700395654
  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Ack Healthcare Management LLC

  • Rural Health Clinic/Center
  • Hardinsburg, KY
  • NPI 1740866219
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1376275578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016981",
            "telephone_number": "270-684-0023",
            "fax_number": "270-684-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016981",
            "telephone_number": "270-684-0023",
            "fax_number": "270-684-0065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 S US Highway 231",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423209473",
            "country_code": "US",
            "telephone_number": "270-274-6054",
            "fax_number": "410-341-8099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4604 US Highway 60 W",
            "address_purpose": "LOCATION",
            "city": "Morganfield",
            "state": "KY",
            "postal_code": "424376515",
            "country_code": "US",
            "telephone_number": "270-389-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Frazier Ct Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249026",
            "country_code": "US",
            "telephone_number": "859-780-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ANDREA",
        "middle_name": "SHAWN",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017990",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3017990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRE",
            "last_name": "WISE",
            "middle_name": "SHAWN",
            "credential": "AGACNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah E Winkler, APRN
• Wanda Lynn Winkler, NP
• Kaci Nicole Winstead, MSOTR/L
• Olivia Nicole Winstead, BCBA, LBA
• Sara Winters, LCSW, LCADC
• Erin A Witters, AU.D,
• Lance H Wittwer, D.C.
• Jamie Woerz, PT
• Erin M. Wofford, MD
• David A Wolfe II

• Acute Care Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.