Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720098189 Individual Practitioner Female Practitioner

Marilyn B Wise , FNP

Urology • Layton, UT

Professional Overview & Biography Verified Profile Summary

Marilyn Wise, FNP is a registered healthcare professional specializing in Urology in Layton, UT. Practice services are available at 2121 N 1700 W under active NPI credentials.

Frequently performed procedures and clinical services include injection, levocarnitine, per 1 gm, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, pyridoxine hcl, 100 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2121 N 1700 W

Layton, UT 840418803

Telephone 8017734840
Fax 8015258151
Associated Practice Facility / Clinic
🏢 Tanner Memorial Clinic Facility NPI 1447239355

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Layton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Layton, UT (112 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.5% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1955 Injection, levocarnitine, per 1 gm
744 39 $68.89 $21.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
716 39 $55.00 $11.70
J3415 Injection, pyridoxine hcl, 100 mg
219 39 $45.69 $6.49
J3411 Injection, thiamine hcl, 100 mg
219 39 $40.25 $2.77
97016 Application of blood vessel compression device
182 39 $35.00 $7.68
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
157 33 $27.14 $9.31
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
80 27 $75.00 $28.33
99213 Established patient office or other outpatient visit, typically 15 minutes
26 20 $150.00 $74.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $200.00 $91.74

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License UT 215309-4405

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License UT 215309-4405

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003174129

Doctor of Medicine (M.D.), Master of Public Health

Cameron Wood , PA-C

Physician Assistant

NPI 1003628413

Physician Assistant (Certified)

Dr. Khaldoun Al-Rayess , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003808122

Doctor of Medicine (M.D.)

NPI 1003859547

Doctor of Medicine (M.D.)

Alison Coburn , LCSW

Social Worker - Clinical

NPI 1013314731

Licensed Clinical Social Worker

Dr. Dustin Child , MD

Family Medicine

NPI 1013941228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location December 04, 2019

Registered at 2121 N 1700 W, LAYTON, UT 840418803 (Tel: 8017734840)

📍
Updated Business Mailing Address December 04, 2019

Registered at PO BOX 337, LAYTON, UT 840410337 (Tel: 8017734840)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Urology (License #215309-4405 in UT)

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 18, 2017

Registered at PO BOX 5546, DENVER, CO 802175546 (Tel: 8014753240)

📍
Updated Practice Location January 18, 2017

Registered at 4403 HARRISON BLVD, SUITE 4650, OGDEN, UT 844033271 (Tel: 8014753240)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as MARILYN WISE, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Nurse Practitioner (License #215309-4405 in UT)

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2016

Registered at 4403 HARRISON BLVD, SUITE 4650, OGDEN, UT 844033271 (Tel: 8014753240)

📍
Updated Business Mailing Address July 05, 2016

Registered at 4650 HARRISON BLVD, OGDEN, UT 844034303 (Tel: 8014753000)

👤
Provider Name / Credentials Updated July 05, 2016

Recorded as MARILYN WISE, F.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Nurse Practitioner (License #215309-4405 in UT)

🟢
Initial NPI Registration & Enumeration August 08, 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: 1720098189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: December 04, 2019
Sole Proprietor: No

Mailing Address

Po Box 337

Layton, UT 840410337

Phone: 8017734840

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.