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Active NPI 1750313375 Individual Practitioner Male Practitioner

Russell J Wise , FNP

Nurse Practitioner • Laredo, TX

Professional Overview & Biography Verified Profile Summary

Russell Wise, FNP is a registered healthcare professional specializing in Nurse Practitioner in Laredo, TX. Practice services are available at 2007 S ZAPATA HWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2007 S Zapata Hwy

Laredo, TX 780466510

Telephone 9567958101
Fax 9567958195
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Laredo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Laredo, TX (4894 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $192.00 $61.30

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 633018

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
157631601 (TX)
Medicaid State Provider ID
081896501 (TX)
Medicaid State Provider ID
092953101 (TX)
Commercial Insurance / Payer ID Cshcn
157631602 (TX)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Miguel Madrigal , PA-C

Physician Assistant

NPI 1053341404

Physician Assistant (Certified)

Rebecca Morales , RDH

Dental Hygienist

NPI 1144240847

Registered Dental Hygienist

NPI 1396820395

Registered Pharmacist

Leslie Gonzalez

Counselor - Professional

NPI 1528638301
Gilberto Salinas , LPC

Counselor - Mental Health

NPI 1659629509

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 2007 S ZAPATA HWY, LAREDO, TX 780466510 (Tel: 9567958101)

📍
Updated Business Mailing Address October 30, 2012

Registered at 2007 S ZAPATA HWY, LAREDO, TX 780466510 (Tel: 9567958101)

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as RUSSELL WISE, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Nurse Practitioner (License #633018 in TX)

🟢
Initial NPI Registration & Enumeration July 06, 2006

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: 1750313375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: October 30, 2012
Sole Proprietor: No

Mailing Address

2007 S Zapata Hwy

Laredo, TX 780466510

Phone: 9567958101

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.