DR. CHERYL ANNETTE WISE (PH.D.) – Professional Counselor, NPI 1316076656

DR. CHERYL ANNETTE WISE (PH.D.) is a healthcare provider. based in Lander, Wyoming. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PC003901 (PA). The NPI Number for DR. CHERYL ANNETTE WISE (PH.D.) is 1316076656

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHERYL ANNETTE WISE (PH.D.)
NPI
1316076656
Phone
(215) 922-7748
Address
485 N 3RD ST
Enumeration Date
4 March 2007
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073322941
Graduation Year
2006 (20 years ago)
PAC ID
0648339564
Group Practice PAC ID
1355323940
Professional Enrollment ID
I20150227000015
Address ID
WY825203431LA745XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

49 CLINICAL PSYCHOLOGIST in WY

Provider Addresses for DR. CHERYL ANNETTE WISE (PH.D.)

  • 485 N 3RD ST

    LANDER, WY 825202210

    Phone: (215) 922-7748

    Type: Location

  • PO BOX 71

    LANDER, WY 825200071

    Phone: (215) 922-7748

    Type: Mailing

  • 431 MAIN ST STE 2

    LANDER, WY 825203145

    Phone: (215) 922-7748

    Type: Location

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: 2015-02-27

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
I20150227000015IClinical PsychologistWYTBD

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
90837Psychotherapy, 1 hour19918$0
90791Psychiatric diagnostic evaluation1818$0
View full utilization report →

Insurance plans in this area (ZIP 82520)

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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: 1355323940View full group profile
NameSpecialtyState
Nurse PractitionerWY
Family PracticeWY
Physician AssistantID
Nurse PractitionerWY
-WY
Internal MedicineWY
Family PracticeWY
Family Practice, Pediatric MedicineWY
Physician AssistantME
-WY

Reviews

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Frequently asked questions

Can I cross-check DR. CHERYL ANNETTE WISE (PH.D.) using NPI 1316076656?
NPI 1316076656 belongs to DR. CHERYL ANNETTE WISE (PH.D.); compare other details if you need extra assurance.
Would DR. CHERYL ANNETTE WISE (PH.D.) appear as active to a payer?
You can treat DR. CHERYL ANNETTE WISE (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CHERYL ANNETTE WISE (PH.D.)?
DR. CHERYL ANNETTE WISE (PH.D.)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Is DR. CHERYL ANNETTE WISE (PH.D.) located near Lander?
DR. CHERYL ANNETTE WISE (PH.D.) currently maps to Lander, Wyoming in this extract.
Can I trust this NPI listing for DR. CHERYL ANNETTE WISE (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.