Active NPI
Patricia Diane Wise, PA
- Physician Assistant
- Bryan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007054RX
- Practice address
- 433 W High St
Bryan, OH 43506-1690 - Phone
- (419) 636-1131
- Fax
- (419) 636-3100
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Rural Health Clinic/Center
- Reading, MI
- NPI 1053472522
-
- Skilled Nursing Facility
- Hillsdale, MI
- NPI 1538262886
-
- Psychiatric Hospital Unit
- Hillsdale, MI
- NPI 1750455168
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1801618608
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1952951014
-
- Oxygen Equipment & Supplies (DME)
- Hillsdale, MI
- NPI 1972534360
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Medicare Defined Swing Bed Hospital Unit
- Yerington, NV
- NPI 1285008219
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hillsdale Community Health Center
Practice addresses (Care Compare)
1456 Hudson Rd
Hillsdale, MI 49242-8314
Phone (517) 439-0200
168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451
Hospital & facility affiliations
- Hillsdale Hospital
- Promedica Charles and Virginia Hickman Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.81 of 100
- Quality
- 80.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.11
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140701001099 | NV | Practitioner - Physician Assistant | 9032307137 | Reassigns benefits to 1 organization |
| I20210908003152 | OH | Practitioner - Physician Assistant | 9032307137 | Reassigns benefits to 1 organization |
| I20241113001744 | MI | Practitioner - Physician Assistant | 9032307137 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4769 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Hillsdale Community Health Center | Current | Accepting new patients |
Locations
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
1456 Hudson Rd
Hillsdale, MI 49242
Phone (517) 439-0200
240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040
32 S Broad St
Hillsdale, MI 49242
Phone (517) 437-3361
213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
Interoperability endpoints
- pwise473380@direct.parkviewexchange.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007054RX | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
433 W High St
Bryan, OH 43506-1690
Mailing address
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2024.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1720388481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061690",
"telephone_number": "419-636-1131",
"fax_number": "419-636-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061690",
"telephone_number": "419-636-1131",
"fax_number": "419-636-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007054RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.