Active NPI
Jeremy Matthew Wiley, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09112
- Practice address
- 3000 S Macarthur Dr
Alexandria, LA 71301-2927 - Phone
- (318) 448-6800
- NPI assigned
- Mar 8, 2017
- Sex
- Male
- 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 | AP09112 | LA | Primary |
Addresses
Primary practice location
3000 S Macarthur Dr
Alexandria, LA 71301-2927
Mailing address
3000 S Macarthur Dr
Alexandria, LA 71301-2927
Phone (318) 448-6800
Other practice location 1
308 Griffith St
Pineville, LA 71360-5270
Phone (318) 528-5000
Other practice location 2
3351 Masonic Dr
Alexandria, LA 71301-3842
Phone (318) 448-6800
Other practice location 3
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 449-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 448-6830
3351 Masonic Dr
Alexandria, LA 71301-3842
Phone (318) 448-6800
Hospital & facility affiliations
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Healogics Specialty Physicians of Louisiana, LLC | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Nurse Practitioner | Current | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3000 S MacArthur Dr
Alexandria, LA 71301
Phone (318) 448-6800
3351 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6800
1801 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 478-9585
308 Griffith St
Pineville, LA 71360
Phone (318) 528-5000
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1505 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 519-7555
1460 E Bert Kouns Industrial Loop
Ste 700
Shreveport, LA 71105
Phone (318) 424-3291
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 5
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.
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- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lake Charles, LA
- NPI 1134528623
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
LA, Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508306689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S MACARTHUR DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713012927",
"telephone_number": "318-448-6800",
"fax_number": "318-448-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S MACARTHUR DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713012927",
"telephone_number": "318-448-6800"
}
],
"practiceLocations": [
{
"address_1": "308 Griffith St",
"address_purpose": "LOCATION",
"city": "Pineville",
"state": "LA",
"postal_code": "713605270",
"country_code": "US",
"telephone_number": "318-528-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3351 Masonic Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013842",
"country_code": "US",
"telephone_number": "318-448-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Masonic Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013841",
"country_code": "US",
"telephone_number": "318-449-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILEY",
"first_name": "JEREMY",
"middle_name": "MATTHEW",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.