Aleesha Pearl Wise, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4704319442 Issued in MI

Practice address

2603 Electric Ave Ste 2
Port Huron, MI 48060-6588

Phone

(810) 329-3333

Fax

(810) 329-1199

NPI assigned

Oct 28, 2019

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Obstetrics and Gynecology, PLLCGroup PAC ID 9537398474, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Clair Obstetrics & Gynecology, PLLC

  • Obstetrics & Gynecology Physician
  • Port Huron, MI
  • NPI 1184055394
  Care Compare group
• County of St Clair

  dba St Clair County Health Department

  • Public Health or Welfare Agency
  • Port Huron, MI
  • NPI 1053408948
  NPD (past)
• St Clair County Health Department

  • Public Health or Welfare Agency
  • Port Huron, MI
  • NPI 1245561620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1770126211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE STE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-329-3333",
            "fax_number": "810-329-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE STE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-329-3333",
            "fax_number": "810-329-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ALEESHA",
        "middle_name": "PEARL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704319442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patagonia",
            "affiliation": "N",
            "address_1": "4430 Carrigan Rd.",
            "city": "Fort Gratiot",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Sue Wilson, LPC
• Joseph Windhorst, LMSW
• Debra Lynn Wine, MSW
• Rachel Nicole Winters Graham
• Samantha Winward-Maes
• Jack Randall Withenshaw, SW, LMFT
• Christine Marie Wohlfield, MSW, LLMSW
• Adam Steven Wolf, NP
• Kay Wolfe
• Travis Wolff

• Family Medicine Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.

Verify at the official NPI Registry.