Individual provider Active NPI

Natalie Saunders Wise, FNP

  • Family Nurse Practitioner
  • Traverse, MI
National Provider Identifier
1801227392
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07420 Issued in LA
Practice address
4075 Copper Ridge Dr
Traverse, MI 49684-4796
Phone
(321) 946-8970
Fax
(231) 946-1730
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07420 LA Primary
Registered Nurse 163W00000X RN123613 LA

Addresses

Primary practice location

4075 Copper Ridge Dr
Traverse, MI 49684-4796

Mailing address

543 Fox CV
Haughton, LA 71037-9383
Phone (318) 537-0769

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001006 LA Practitioner - Nurse Practitioner 3274764006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Plus Medical of Ruston LLCGroup PAC ID 2860734415, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

612 S Farmerville St
Ruston, LA 71270-4615
Phone (318) 436-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN123613LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Medical of Ruston LLC CurrentSince Aug 15, 2021 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Jan 1, 2014 Accepting new patients
A Plus Medical of Ruston LLC CurrentSince Aug 15, 2021 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Jan 1, 2014 Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1801227392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 FOX CV",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379383",
            "telephone_number": "318-537-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 COPPER RIDGE DR",
            "city": "TRAVERSE",
            "state": "MI",
            "postal_code": "496844796",
            "telephone_number": "321-946-8970",
            "fax_number": "231-946-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "NATALIE",
        "middle_name": "SAUNDERS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07420",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN123613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse, MI

Sources for this page

Verify at the official NPI Registry.