Nicolette Wise (NPI# 1104084888, PAC ID# 5092970954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1104084888 |
| PAC ID by PECOS | 5092970954 |
| Professional Enrollment ID | I20120628000072 |
| Full Name | Nicolette Wise |
| Organization Legal Name | CAPITAL REGION MEDICAL CENTER |
| Address |
1125 Madison St Jefferson City MO 65101-5227 |
| Phone Number | 5736342620 |
| Gender | F |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4688573686 |
| Number of Group Practice Members | 145 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260047 | CAPITAL REGION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1125 Madison St, Jefferson City, MO 65101-5227 | 5736342620 | CAPITAL REGION MEDICAL CENTER |
| Organization Legal Name | CAPITAL REGION MEDICAL CENTER |
| Physicians | 123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Lipasek | Nurse Practitioner | Capital Region Medical Center | 704 W Buchanan St, Capital Region Physicians, California, MO 65018-1228 |
| Megan E Hilderbrand | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Dayna Patterson | Nurse Practitioner | Capital Region Medical Center | 3308 W Edgewood Dr B, Capital Reg Hlth Branch W, Jefferson City, MO 65109-6891 |
| Jennifer L Adelman | Nurse Practitioner | Capital Region Medical Center | 1014 Madison St, Jefferson City, MO 65101-3458 |
| John Starke | Clinical Social Worker | Capital Region Medical Center | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 |
| Purvi G Patel | Internal Medicine | Capital Region Medical Center | 1505 Southwest Blvd, Jefferson City, MO 65109-2431 |
| Charles P Coyne Iii | Family Medicine | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
| Michael Dewayne Roach | Family Medicine | Capital Region Medical Center | 1500 Southwest Blvd, Suite D, Jefferson City, MO 65109-2472 |
| Timothy Craig Galbraith | Orthopedic Surgery | Capital Region Medical Center | 3308 W Edgewood Dr A, Capital Region Physicians, Jefferson City, MO 65109-6891 |
| Joseph C Rakestraw | Family Medicine | Capital Region Medical Center | 631 S Walnut St, Capital Region Physicians, St Elizabeth, MO 65075-2440 |
| Street Address |
1125 MADISON ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65101-5227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Hilderbrand | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Sharmila Suri Mohanram | Neurology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Thomas E Hetherington | Anesthesiology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Steven Lyons | General Surgery | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Laura J Sievert | Diagnostic Radiology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Rodney K Adkison | Hospitalist | Hospital Medicine Services of Tennessee PC | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Manav Nayyar | Endocrinology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Ani Durham | General Surgery | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Katherine A Cavender | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Ryan Scott Woodman | Endocrinology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Michael Snyder | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Jonathan M Craighead | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Mauricio J Pasquale | Physician Assistant | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Matthew M Ragsdell | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Bradley S Sloan | Family Medicine | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| John J Krautmann | Orthopedic Surgery | Jefferson City Medical Group, PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Alicia D Barnes | Clinical Social Worker | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Jacqueline R Henry | Psychologist, Clinical | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Danielle R Schwartz | Speech Language Pathologist | 1908 Whitney Woods Dr, Jefferson City, MO 65101-2386 | |
| Find all physicians in zip 65101 | |||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | JEFFERSON CITY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Nicolette Wise.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.