Individual provider Active NPI

Meredith Kathrin Wise, MD

  • Obstetrics & Gynecology Physician
  • Minneapolis, MN
National Provider Identifier
1548793136
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
70475 Issued in MN
Practice address
606 24TH Ave S Ste 300
Minneapolis, MN 55454-1437
Phone
(612) 273-7111
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 70475 MN Primary

Addresses

Primary practice location

606 24TH Ave S Ste 300
Minneapolis, MN 55454-1437

Mailing address

606 24TH Ave S Ste 300
Minneapolis, MN 55454-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210908003665 NC Practitioner - Obstetrics/Gynecology 5496027013 Reassigns benefits to 1 organization
I20230516001384 MN Practitioner - Obstetrics/Gynecology 5496027013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70475MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Physicians Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Fairview Specialty Services CurrentSince Jul 1, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 1, 2023 Accepting new patients
University of North Carolina at Chapel Hill Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2023 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

606 24th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 273-7111

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

420 Delaware St SE
#395
Minneapolis, MN 55455
Phone (612) 301-3417

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

6715 McCrimmon Pkwy
Ste 204
Cary, NC 27519
Phone (919) 481-4747

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1181 Weaver Dairy Rd
Ste 150
Chapel Hill, NC 27514
Phone (984) 974-7005

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: mwise403198@fairview.direct-ci.com

Organizations & group practices 10

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1548793136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541437",
            "telephone_number": "612-273-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MEREDITH",
        "middle_name": "KATHRIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "70475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.