Jaclyn Wise, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9120414 Issued in FL

Practice address

9617 Gulf Research LN
Fort Myers, FL 33912-4560

Phone

(239) 418-0999

Fax

(239) 418-0091

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jonathan M Frantz, MD PAGroup PAC ID 9234039140, 25 clinicians

Best Day Psychiatry and Counseling PCGroup PAC ID 2567500671, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwise7046@direct.leememorial.org

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.

• Jonathan M Frantz, MD PA

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1033199609

  FL

  Medicare reassignment Care Compare group NPD
• Best Day Psychiatry and Counseling, PC

  • Prescribing (Medical) Psychologist
  • Fayetteville, NC
  • NPI 1477506343

  NC

  Medicare reassignment Care Compare group
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Mt Pleasant, SC
  • NPI 1467291542
  NPD
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1891226858
  NPD

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1972806339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 TIDALWALK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094968",
            "telephone_number": "239-738-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124560",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Iron Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284126625",
            "country_code": "US",
            "telephone_number": "910-323-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "JACLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11679",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016281900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Winter, DPM
• Andrea Winters, PA-C
• Carol M Wirth, CRNA
• Katherine E Wirth, ARNP
• Serina Wirth
• Marci Wise
• Shannon Elizabeth Wiseley, LMHC
• Bethany Danielle Wisniewski, PA-C
• Emily Withington
• Wittenborn Plastic Surgery LLC

• All providers in Fort Myers, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.