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

Lisa C Wise, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1174419642

Lisa C Wise, AGNP-C is a Nurse Practitioner in Brookville, Ohio. Qualified in 2025, 1 year ago. Practices with Samaritan Family Care Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

98 Mosier Pkwy
Brookville, OH 45309-1750
Phone: (937) 833-4103
Fax: (937) 833-3147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.0039475 (OH)

Record details

NPI number1174419642
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Samaritan Family Care Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount