Active NPI
Jami D Wise, CNP
- Family Nurse Practitioner
- Washington Court House, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP.019663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212866 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.019663 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health Providers Inc | Current | Accepting new patients | |
| Arlington Urgent Care Inc | Current | Accepting new patients | |
| Arlington Urgent Care Inc | Current | Accepting new patients | |
| Adena Medical Group LLC | Current | Accepting new patients | |
| Mount Carmel Healthproviders Inc | Current | 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
- jwise@yourcarecommunity.org
- 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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1356384143
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Urgent Care Clinic/Center
- Upper Arlington, OH
- NPI 1255624722
-
- Urgent Care Clinic/Center
- Delaware, OH
- NPI 1639947880
-
- Family Medicine Physician
- Columbus, OH
- NPI 1831364876
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.