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

Kristopher Joel Wise, FNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1679230148

Kristopher Joel Wise, FNP-C is a Nurse Practitioner in Saginaw, Michigan. Graduated from Saginaw Valley Medical College - Nlg in 2021, 5 years ago. Practices with Great Lakes Bay Health Centers, a 85-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Saginaw Valley Medical College - Nlg
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1522 Janes Ave
Saginaw, MI 48601-1819
Phone: (989) 755-0316
Fax: (989) 755-0956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704335001 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 21314035126 (MI)

Record details

NPI number1679230148
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address501 Lapeer Ave, Saginaw, MI 48607-1203

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduated 2021 (5 years in practice)
Group practice Great Lakes Bay Health Centers — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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