ANDREW E WISE (M.D.) – Family Medicine Physician, NPI 1952303018

ANDREW E WISE (M.D.) is a healthcare provider. based in Alexandria, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101042680 (VA). The NPI Number for ANDREW E WISE (M.D.) is 1952303018

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW E WISE (M.D.)
NPI
1952303018
Phone
(703) 922-5577
Address
6160 FULLER CT
Enumeration Date
2 June 2005
Last Update Date
5 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7039224704
Graduation Year
1986 (40 years ago)
PAC ID
3476730458
Group Practice PAC ID
3577740554
Professional Enrollment ID
I20110629000422
Address ID
VA223102540AL6160XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for ANDREW E WISE (M.D.)

  • 6160 FULLER CT

    ALEXANDRIA, VA 223102540

    Phone: (703) 922-5577

    Fax: (703) 971-9834

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-06-29

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
I20110629000422IFamily PracticeDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4636$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
36415Insertion of needle into vein for collection of blood sample1413$0
View full utilization report →

Insurance plans in this area (ZIP 22310)

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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: 3577740554View full group profile
NameSpecialtyState
Family PracticeVA
Family PracticeVA
Family PracticeVA

Reviews

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Frequently asked questions

Where can patients find ANDREW E WISE (M.D.)'s NPI?
You can confirm ANDREW E WISE (M.D.) with NPI 1952303018; it appears in the national provider directory.
Is ANDREW E WISE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANDREW E WISE (M.D.)?
The page reflects Family Medicine Physician for ANDREW E WISE (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ANDREW E WISE (M.D.)?
We surface Alexandria, Virginia for ANDREW E WISE (M.D.) based on available NPPES addresses.
How can I contact ANDREW E WISE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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