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

Katherine V Wise, NP

Individual provider Registered Nurse · NPI 1528611985

Katherine V Wise, NP is a Nurse Practitioner in Aurora, Colorado. Qualified in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
8
Licensed in
CO, IL
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1700 — (847) 570-2111

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN.0994549-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence 041482556 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.019652 (IL)

Record details

NPI number1528611985
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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