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

Timothy Wise

Individual provider Family Nurse Practitioner · NPI 1467949073

Timothy Wise is a Nurse Practitioner in Jeffersonville, Indiana. Qualified in 2018, 8 years ago. Practices with Fast Pace Kentucky, PLLC, a 216-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone: (812) 284-2273
Fax: (812) 284-2279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007909A (IN)

Record details

NPI number1467949073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018
Mailing address1701 Spring St Ste B, Jeffersonville, IN 47130-2930

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 Fast Pace Kentucky, Pllc — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Jeffersonville