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

Mr. Jonathan Richard Wiese, AGNP

Individual provider Primary Care Nurse Practitioner · NPI 1487130746

Mr. Jonathan Richard Wiese, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2011, 15 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
15
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MO
In the registry since
2018
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4921 Parkview Pl Div Neurology Stroke Ste 6C
Saint Louis, MO 63110-1032
Phone: (314) 362-7382
Fax: (314) 747-3342
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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 2024008621 (MO)

Record details

NPI number1487130746
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJuly 19, 2018
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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