Mr. Jonathan Richard Wiese
AGNP | Nurse Practitioner - Primary Care | 9+ years Exp
4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis
Missouri, 63110-1032
314-362-7382
Mr. Jonathan Richard Wiese is a Saint Louis, Missouri based nurse practitioner with 9 years of experience in Primary Care. He completed his graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jonathan Richard Wiese is 2024008621 for Primary Care in Missouri. His current practice location is 4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis. Patients can reach him at 314-362-7382 or can fax him at 314-747-3342. Mr. Jonathan Richard Wiese is AGNP with specialization in Primary Care and his NPI number (Unique professional ID assigned by NPPES) is 1487130746.
Mr. Jonathan Richard Wiese is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Mr. Jonathan Richard Wiese speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Jonathan Richard Wiese |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Male |
| Credentials: | AGNP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis,
Missouri, 63110-1032 |
| Phone: | 314-362-7382 |
| Fax: | 314-747-3342 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3678807047 |
| Enrollment ID: | I20190619001896 |
| NPI Number: | 1487130746 |
| NPI Enumeration Date: | 19 Jul, 2018 |
| NPI Last Update On: | 17 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jonathan Richard Wiese are as mentioned below.
| License Number | Specialization | State | Status | |
| 2024008621 | Primary Care | Missouri | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jonathan Richard Wiese is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Tmh Physician Associates Pllc (4486711744) | 1328 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jonathan Richard Wiese such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 420141831 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Jonathan Richard Wiese
Po Box 7412011,
Chicago, Illinois |
| Zip: | 60674-2011 |
| Phone Number: | 314-362-7382 |
| Fax Number: | 314-747-3342 |
Patients can reach Mr. Jonathan Richard Wiese at
4921 Parkview Pl, Div Neurology Stroke, Ste 6c, Saint Louis, Missouri or can
call to book an appointment on 314-362-7382.
Comments/ Reviews:
Patients can read all the reviews posted for Mr. Jonathan Richard Wiese below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Jonathan Richard Wiese. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.