Active NPI 1942261466 Individual Practitioner Female Practitioner

Michelle Tonia Wise , NURSE PRACTITIONER

Nurse Practitioner - Pediatrics • Hampton, VA

Professional Overview & Biography Verified Profile Summary

Michelle Wise, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Hampton, VA. Practice services are available at 240 S SECOND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

240 S Second St

Hampton, VA 236641407

Telephone 7577139465

Associated Practice Facility / Clinic

🏢 Mbs Child Wellness Center Facility NPI 1023629862

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Hampton, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Hampton, VA (606 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

CMS Verified: 2026-08-07

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024156324

Definition to come...

Nurse Practitioner - Neonatal, Critical Care

NUCC Taxonomy Code: 363LN0005X

State License VA 0024156324

Definition to come...

Registered Nurse - Lactation Consultant

NUCC Taxonomy Code: 163WL0100X

State License VA 0001156324

Definition to come...

Nurse Practitioner - Neonatal

NUCC Taxonomy Code: 363LN0000X

State License VA 0024156324

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1946661466 (VA)

Secondary Practice Locations

680 Oyster Point Rd

Newport News, VA 236064570

Phone: 7576684851

314 Peach Tree Cres

Newport News, VA 236027485

Phone: 7578742489

3960 Virginia Beach Blvd

Virginia Beach, VA 234522449

Phone: 7576684648

817 Volvo Pkwy

Chesapeake, VA 233202855

Phone: 7576684630

4000 Coliseum Dr Ste 280a

Hampton, VA 236665974

Phone: 7578272400

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location August 07, 2026

Registered at 240 S SECOND ST, HAMPTON, VA 236641407 (Tel: 7577139465)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2026

Nurse Practitioner (License #0024156324 in VA)

📍

Updated Practice Location October 18, 2022

Registered at 680 OYSTER POINT RD, NEWPORT NEWS, VA 236064570 (Tel: 7576684851)

📍

Updated Practice Location May 08, 2019

Registered at 240 S SECOND ST, HAMPTON, VA 236641407 (Tel: 7577139465)

📍

Updated Business Mailing Address May 08, 2019

Registered at 240 S SECOND ST, HAMPTON, VA 236641407 (Tel: 7577139465)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2019

Registered Nurse (License #0001156324 in VA)

✅

NPI Profile Active February 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2009

Registered at 314 PEACH TREE CRES, NEWPORT NEWS, VA 236027485 (Tel: 7578742489)

📍

Updated Business Mailing Address February 03, 2009

Registered at 314 PEACH TREE CRES, NEWPORT NEWS, VA 236027485 (Tel: 7578742489)

👤

Provider Name / Credentials Updated February 03, 2009

Recorded as MICHELLE WISE, NURSE PRACTITIONER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2009

Nurse Practitioner (License #0024156324 in VA)

🟢

Initial NPI Registration & Enumeration April 01, 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: 1942261466

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 01, 2006

Last Update: August 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

240 S Second St

Hampton, VA 236641407

Phone: 7577139465

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.