CHRISTINA SHUMAN WISE (M.D.) – Psychiatry Physician, NPI 1730342635
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 ADDICTION MEDICINE in OH
Provider Addresses for CHRISTINA SHUMAN WISE (M.D.)
11161 Kenwood Rd
Building #6
Blue Ash, OH 45242
Phone: (513) 769-4600
Fax: (513) 769-0304
Type: Location
351, Centre View Boulevard, Crestview Hills, Kenton County, Kentucky, 41017, United States
CRESTVIEW HILLS, KY 410173477
Phone: (859) 757-0717
Fax: (859) 331-2425
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452635283
Phone: (859) 301-5901
Fax: (859) 301-5940
Type: Mailing
20 WEST 18TH STREET
COVINGTON, KY 410113329
Phone: (859) 757-0717
Fax: (859) 331-2425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,412.
Total Amount is formed as General ($1,412) + Research ($0) + Ownership ($0) = $1,412.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($498).
Total Amount
$1,412
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131022001362 | I | Addiction Medicine | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45242)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| - | FL | |
| O P T O M E T R Y | TX | |
| N E U R O L O G Y | OH |
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