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Deactivated NPI 1669804340 Deactivated / Inactive NPI Male Practitioner

Judd Wendell Wise , RN

Registered Nurse • Mason, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judd Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2013
NPI Deactivation Date May 05, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Judd Wise, RN was a registered Registered Nurse practicing in Mason, MI. Throughout an active medical career spanning 7 years, Judd Wise provided care at the practice location at 585 JEWETT RD until profile deactivation on 2020-05-05.

Practice Location & Contact Primary Location

Practice Address

585 Jewett Rd

Mason, MI 488548729

Telephone 5176765405
Fax 5176765460
Associated Practice Facility / Clinic
🏢 Consumer Services Inc Facility NPI 1689786626

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Mason, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Mason, MI (5748 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License MI 4704099082

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cassandra Phillips , LBSW

Case Manager/Care Coordinator

NPI 1003226192
Kelley Kounovsky

Technician - Personal Care Attendant

NPI 1003322116
Beau Martin , BS

Case Manager/Care Coordinator

NPI 1033065339

Bachelor of Science

Margaret Spencer , LMSW

Social Worker - Clinical

NPI 1033225362

Licensed Master Social Worker

NPI 1033454947

Limited Licensed Master Social Worker

Michelle Lyon , LLPC

Case Manager/Care Coordinator

NPI 1033547534

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 05, 2020

Record deactivated on May 05, 2020

NPI Profile Active August 05, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2013

Registered at 585 JEWETT RD, MASON, MI 488548729 (Tel: 5176765405)

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Updated Business Mailing Address August 05, 2013

Registered at 585 JEWETT RD, MASON, MI 488548729 (Tel: 5176765405)

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Provider Name / Credentials Updated August 05, 2013

Recorded as JUDD WISE, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2013

Registered Nurse (License #4704099082 in MI)

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Initial NPI Registration & Enumeration August 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669804340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2013
Last Update: August 05, 2013
Deactivation Date: May 05, 2020

Mailing Address

585 Jewett Rd

Mason, MI 488548729

Phone: 5176765405

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.