Individual provider Active NPI

Jami D Wise, CNP

  • Family Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1821533571
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.019663 Issued in OH
Practice address
1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899
Phone
(740) 333-3333
Fax
(740) 636-1196
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP.019663 OH Primary

Addresses

Primary practice location

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899

Mailing address

1450 Columbus Ave
Suite B 6-7-8
Washington Court House, OH 43160-3701
Phone (740) 333-2236

Other identifiers 1

IdentifierTypeStateIssuer
0212866MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamiwise@fcmhms.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170418002094 OH Practitioner - Nurse Practitioner 2365728870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

6024 Hoover Rd
Suite a
Grove City, OH 43123-8133
Phone (614) 627-1810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.019663OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc CurrentSince Apr 9, 2022 Accepting new patients
Arlington Urgent Care Inc CurrentSince Aug 10, 2023 Accepting new patients
Arlington Urgent Care Inc CurrentSince Aug 10, 2023 Accepting new patients
Adena Medical Group LLC CurrentSince May 2, 2021 Accepting new patients
Mount Carmel Healthproviders Inc CurrentSince Apr 9, 2022 Accepting new patients

Locations

6024 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 777-5700

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

1311 Leesburg Ave
Washington Court House, OH 43160
Phone (740) 780-5250

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1450 Columbus Ave
Ste 103
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2243

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

1510 Columbus Ave
Ste 230
Wshngtn Ct Hs, OH 43160
Phone (740) 333-3333

1450 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-2654

1450 Columbus Ave
Ste B
Wshngtn Ct Hs, OH 43160

Interoperability endpoints

  • Direct secure messaging: jwise@yourcarecommunity.org
  • Direct secure messaging: jwise1769751@direct.trinity-health.org

Organizations & group practices 5

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 5

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1821533571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE B 6-7-8",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2236",
            "fax_number": "740-333-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-636-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JAMI",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.019663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212866",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamiwise@fcmhms.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.