Individual provider Active NPI

Jennifer Wise, NP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1467836742
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19675 Issued in TN
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

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921000083 TN Practitioner - Nurse Practitioner 3779890991 Reassigns benefits to 1 organization

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
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

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 Home health agency, Springfield, TN, CCN 447466
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Sep 25, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Sep 25, 2018 Accepting new patients
United Neighborhood Health Services, Inc PastSince Aug 15, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.