KRISTOPHER JOEL WISE FNP-C NPI 1679230148

NPI Information

  • NPI: 1679230148
  • Provider Name: KRISTOPHER JOEL WISE, FNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1522 JANES AVE
    SAGINAW, MI
    ZIP 48601
  • Phone: (989) 755-0316

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NPI Details

Kristopher Joel Wise, FNP-C is a primary care nurse practitioner in Saginaw, MI with 4 years of experience. Kristopher Joel Wise, FNP-C NPI is 1679230148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduation Year:2021

The provider's business location address is:

1522 JANES AVE
SAGINAW, MI
ZIP 48601-819
Phone: (989) 755-0316
Fax: (989) 755-0956

The NPI 1679230148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 11/19/2021 and was last updated on 4/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care21314035126MICHIGANNo
2363LP2300XNurse PractitionerPrimary Care4704335001MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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