Kimberly Wise, NP
NPI 1124663521 · Pediatric Nurse Practitioner · Syracuse, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wise, NP is a Pediatric Nurse Practitioner provider in Syracuse, NY (NPI 1124663521).
Provider details
- NPI number
- 1124663521
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN233955 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-10
- Last updated
- 2024-05-28
- Certified
- 2020-01-28
Frequently asked questions
- What is Kimberly Wise's NPI number?
- Kimberly Wise's National Provider Identifier (NPI) is 1124663521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wise's specialty?
- Kimberly Wise is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Wise located?
- Kimberly Wise's practice location on file with NPPES is 750 East Adams Street, Syracuse, NY 13210.
- What is Kimberly Wise's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wise is (315) 464-5450.
- Does Kimberly Wise accept Medicare?
- Kimberly Wise is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Wise's NPI active?
- Yes — Kimberly Wise's NPI (1124663521) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.