Jessica Danielle Keala Wise, DNP, CNM, PMHNP in Monroe, NC

Jessica Danielle Keala Wise, DNP, CNM, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Monroe, North Carolina. Her current practice location is 1111 Circle Dr, Monroe, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 764-1818.

Jessica Danielle Keala Wise is licensed to practice in North Carolina (license number 5020240) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912413428.

Contact Information

	Jessica Danielle Keala Wise, DNP, CNM, PMHNP
	1111 Circle Dr, Monroe, NC 28112-5834
	(704) 764-1818
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Danielle Keala Wise
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1111 Circle Dr, Monroe, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912413428
Provider Enumeration Date: 12/19/2017
Last Update Date: 05/20/2025

Medicare PECOS Information:

PECOS PAC ID: 0648535815
Enrollment ID: I20241203004069

Medical Identifiers

Medical identifiers for Jessica Danielle Keala Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912413428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5020240 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Danielle Keala Wise allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Pediatric And Family Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700385507 PECOS PAC ID: 6608287909 Enrollment ID: O20201117002217

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Danielle Keala Wise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Danielle Keala Wise, DNP, CNM, PMHNP Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-2021	Jessica Danielle Keala Wise, DNP, CNM, PMHNP 1111 Circle Dr, Monroe, NC 28112-5834 Ph: (704) 764-1818

Reviews and Comments

Nurse Practitioner Nurses in Monroe, NC

Susan Anne Hanobeck Verville, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1303 Dove St, Monroe, NC 28112 Phone: 704-282-0488
Mayce Azmeh, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1423 E Franklin St Ste D, Monroe, NC 28112 Phone: 704-289-6474
Sarah Horne Cristante, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1995 Wellness Blvd, Ste 110, Bldg B, Monroe, NC 28110 Phone: 704-384-1140 Fax: 704-384-1141
Mrs. Cecilia Anna Maria Myers, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-764-1818 Fax: 704-285-2222
Robin Suzette Cook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1995 Wellness Blvd, Stuite 110, Bldg B, Monroe, NC 28110 Phone: 704-384-1140 Fax: 704-384-1141
Holly Ann Barden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 E Roosevelt Blvd, Monroe, NC 28112 Phone: 704-226-0500 Fax: 704-226-0599
Mckay Tillman, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1212 E Sunset Dr, Monroe, NC 28112 Phone: 704-283-8548

Jessica Danielle Keala Wise, DNP, CNM, PMHNP - Medicare Nurse Practitioner in Monroe, NC