JESSICA WISE (M.D.) – Surgical Critical Care Physician, NPI 1336594050

JESSICA WISE (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 158015 (FL). The NPI Number for JESSICA WISE (M.D.) is 1336594050

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA WISE (M.D.)
NPI
1336594050
Phone
(702) 562-5831
Address
3150 N TENAYA WAY
Enumeration Date
1 May 2016
Last Update Date
26 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8503749900
Graduation Year
2016 (10 years ago)
PAC ID
6608250014
Group Practice PAC ID
5597801779
Professional Enrollment ID
I20220902002517
Address ID
FL325471796FO320XXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

183 CRITICAL CARE (INTENSIVISTS) in NV

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Provider Addresses for JESSICA WISE (M.D.)

  • North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    SUITE 480

    LAS VEGAS, NV 891280443

    Phone: (702) 562-5831

    Type: Location

  • 320 RACETRACK RD NW STE 100B

    FORT WALTON BEACH, FL 325471796

    Phone: (850) 374-9610

    Fax: (850) 374-9611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,508.

Total Amount is formed as General ($1,508) + Research ($0) + Ownership ($0) = $1,508.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,126).

Total Amount

$1,508

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220902002517IGeneral SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9961$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6654$0
99291Critical care, first 30-74 minutes6634$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes4242$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597801779View full group profile
NameSpecialtyState
General SurgeryFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Thoracic SurgeryFL
O T O L A R Y N G O L O G YTX
Nurse PractitionerFL
Nurse PractitionerLA
-FL
-FL
U R O L O G YKY

Reviews

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Frequently asked questions

How do I look up JESSICA WISE (M.D.) by NPI?
Use NPI 1336594050 when you need to reference JESSICA WISE (M.D.) in forms, claims, or directories.
Is JESSICA WISE (M.D.) active in the national directory?
JESSICA WISE (M.D.)'s public NPI profile is in an active state.
Does JESSICA WISE (M.D.) list a primary specialty?
If you are matching referrals, note Surgical Critical Care Physician for JESSICA WISE (M.D.). Clinical services aligned with this taxonomy classification.
Does JESSICA WISE (M.D.) practice in Nevada?
You will see Las Vegas, Nevada on file for JESSICA WISE (M.D.) alongside any extra practice locations.
Is JESSICA WISE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1336594050. Always confirm identity and privileges with the practice and licensing boards.

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