Kontasha Shamika Wise, ARNP in Albuquerque, NM

Kontasha Shamika Wise, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albuquerque, New Mexico. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 2900 Louisiana Blvd Ne Ste J1, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 554-8315.

Kontasha Shamika Wise is licensed to practice in New Mexico (license number CNP02817) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679850044.

Contact Information

	Kontasha Shamika Wise, ARNP
	2900 Louisiana Blvd Ne Ste J1, Albuquerque, NM 87110-3575
	(505) 554-8315
	(505) 213-2657

Map and Direction

Provider's Profile

Full Name	Kontasha Shamika Wise
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	2900 Louisiana Blvd Ne Ste J1, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kontasha Shamika Wise graduated from nursing school in 2011

NPI Data:

NPI Number: 1679850044
Provider Enumeration Date: 11/12/2011
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5395906960
Enrollment ID: I20171206001432

Medical Identifiers

Medical identifiers for Kontasha Shamika Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679850044	NPI	-	NPPES
6929753	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	17616 (South Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	CNP02817 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP02817 (New Mexico)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	CNP02817 (New Mexico)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP02817 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kontasha Shamika Wise allows following entities to bill medicare on her behalf.

Entity Name	Island Medical Hospitalist Carlsbad Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144697129 PECOS PAC ID: 8325358039 Enrollment ID: O20151110000340

Entity Name	Island Medical Hospitalist Lea Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215307194 PECOS PAC ID: 8527368943 Enrollment ID: O20151207002531

Entity Name	Beewell Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033706924 PECOS PAC ID: 1557774791 Enrollment ID: O20210108000509

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kontasha Shamika Wise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kontasha Shamika Wise, ARNP 8226 Menaul Blvd Ne # 144, Albuquerque, NM 87110-4614 Ph: (505) 554-8315	Kontasha Shamika Wise, ARNP 2900 Louisiana Blvd Ne Ste J1, Albuquerque, NM 87110-3575 Ph: (505) 554-8315

Reviews and Comments

Nurse Practitioner Nurses in Albuquerque, NM

Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220

Kontasha Shamika Wise, ARNP - Medicare Nurse Practitioner in Albuquerque, NM