Andrea Shawn Wise, AGACNP
NPI 1376275578ActiveIndividual· Nurse Practitioner, Acute Care· Owensboro, KY
Nurse Practitioner, Acute Care (AGACNP) with Ack Healthcare Management LLC and 1 other group, practicing in Owensboro, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $6,593 for 235 claims, against $1,116 paid for services in 2024.
Overview
| NPI | 1376275578 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Jun 27, 2022 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 3017990 | KY |
| Nurse Practitioner, Family | 363LF0000X | 3017990 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 19 across 6 procedure codes |
| Paid by Medicare | $1,116 |
Part D prescriptions in 2024
| Prescriptions (claims) | 235 · 257 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $6,593 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ack Healthcare Management LLCLewisport, KY · 9 clinicians
- Ak Healthcare Management Inc.Owensboro, KY · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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