Kristina Wise
NPI 1720155492 · Clinical Social Worker · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristina Wise is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1720155492).
Provider details
- NPI number
- 1720155492
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 34008004A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-11-29
- Last updated
- 2018-06-06
Frequently asked questions
- What is Kristina Wise's NPI number?
- Kristina Wise's National Provider Identifier (NPI) is 1720155492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristina Wise's specialty?
- Kristina Wise is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kristina Wise located?
- Kristina Wise's practice location on file with NPPES is 203 W Wayne St Ste 317, Fort Wayne, IN 46802.
- What is Kristina Wise's phone number?
- The practice phone number listed in the NPPES registry for Kristina Wise is (260) 333-9703.
- Does Kristina Wise accept Medicare?
- Kristina Wise is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristina Wise's NPI active?
- Yes — Kristina Wise's NPI (1720155492) is active in the NPPES registry as of the last update on 2018-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.