Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Shawn Wise, AGACNP

Individual provider Family Nurse Practitioner · NPI 1376275578

Andrea Shawn Wise, AGACNP is a Nurse Practitioner in Owensboro, Kentucky. Qualified in 2022, 4 years ago. Practices with Ak Healthcare Management Inc, an 8-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3600 Frederica St
Owensboro, KY 42301-6981
Phone: (270) 684-0023
Fax: (270) 684-0065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5025 S Us Highway 231, Beaver Dam, KY 42320-9473 — (270) 274-6054
  • 107 Frazier Ct Ste 1b, Georgetown, KY 40324-9026 — (859) 780-3444
  • 4604 Us Highway 60 W, Morganfield, KY 42437-6515 — (270) 389-5148

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 3017990 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3017990 (KY)

Record details

NPI number1376275578
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ak Healthcare Management Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Owensboro