Individual provider Active NPI

Elizabeth Nash Wise, DO

  • Hospitalist Physician
  • Erie, PA
National Provider Identifier
1619078136
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS17332 Issued in FL
Practice address
2315 Myrtle St Ste 220
Erie, PA 16502-4612
Phone
(814) 454-8185
Fax
(814) 454-3894
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS17332 FL Primary
Obstetrics & Gynecology Physician 207V00000X OS012107 PA

Addresses

Primary practice location

2315 Myrtle St Ste 220
Erie, PA 16502-4612

Mailing address

6220 Lakeshore
Erie, PA 16505
Phone (814) 835-2133

Other practice location 1

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6097

Other identifiers 2

IdentifierTypeStateIssuer
01900579MedicaidPA
126262100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewise663097@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090916000370 PA Practitioner - Obstetrics/Gynecology 9133284458 Reassigns benefits to 1 organization
I20190820002605 NY Practitioner - Obstetrics/Gynecology 9133284458 Reassigns benefits to 1 organization
I20250326000915 FL Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 9133284458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292940NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Mar 20, 2025 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 17, 2025 Accepting new patients
Lee Health System Inc Obstetrics & Gynecology CurrentSince Mar 20, 2025 Accepting new patients
Laboratory Associates of Erie LLC Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 17, 2025 Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Francis H. Tseng MD Obstetrics & Gynecology PastSince Sep 21, 2025 Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Ste 300
Geneseo, NY 14454
Phone (585) 243-0080

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: elizabeth.wise.1@28732.direct.athenahealth.com
  • Direct secure messaging: ewise663097@direct.leememorial.org

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1619078136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 LAKESHORE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-835-2133",
            "fax_number": "814-452-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 220",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024612",
            "telephone_number": "814-454-8185",
            "fax_number": "814-454-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-343-6097",
            "fax_number": "855-818-4732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ELIZABETH",
        "middle_name": "NASH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS17332",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01900579",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126262100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewise663097@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.