Active NPI
Jennifer Wise, NP-C
- Family Nurse Practitioner
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19675
- Practice address
- 114 Saundersville Rd
Hendersonville, TN 37075-8967 - Phone
- (629) 888-5175
- Fax
- (629) 888-5176
- NPI assigned
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19675 | TN | Primary |
Addresses
Primary practice location
114 Saundersville Rd
Hendersonville, TN 37075-8967
Mailing address
300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4029
Other practice location 1
100 Damascus St
Hartsville, TN 37074-1502
Phone (615) 227-3000 ext. 1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Glen Oak Blvd
Suite 102
Hendersonville, TN 37075-3058
Phone (629) 888-5175
Hospital & facility affiliations
- Lifeline Home Health Care
- Tristar Hendersonville Medical Center
- Highpoint Health-Sumner With Ascension Saint Thoma
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| United Neighborhood Health Services, Inc | Past | Accepting new patients |
Locations
114 Saundersville Rd
Hendersonville, TN 37075
Phone (629) 888-5175
105 Glen Oak Blvd
Ste 102
Hendersonvlle, TN 37075
Phone (629) 888-5175
108 Providence Trl
Mt Juliet, TN 37122
Phone (615) 466-0041
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
- jennifer.wise.1@7654.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
-
- Federally Qualified Health Center (FQHC)
- Hartsville, TN
- NPI 1982893806
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- Home Health Agency
- Springfield, TN
- NPI 1659596708
-
- General Acute Care Hospital
- Gallatin, TN
- NPI 1447571658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1467836742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 20TH AVE N STE 403",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372035180",
"telephone_number": "615-284-4029",
"fax_number": "615-284-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 SAUNDERSVILLE RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758967",
"telephone_number": "629-888-5175",
"fax_number": "629-888-5176"
}
],
"practiceLocations": [
{
"address_1": "100 Damascus St",
"address_purpose": "LOCATION",
"city": "Hartsville",
"state": "TN",
"postal_code": "370741502",
"country_code": "US",
"telephone_number": "615-227-3000 x1880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.