EMILY GRACE WISE PA-C
NPI 1083460927
Physician Assistant in Charlotte, NC

Q: What is Emily Wise's NPI number?

The NPI number for Emily Wise is 1083460927. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Q: What is Emily Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Wise was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment

201 S COLLEGE ST FL 12, CHARLOTTE, NC 28244(704) 489-3010 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Apr 29, 2024 (2 updates tracked since 2024).

On this page

About Emily Grace Wise Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY GRACE WISE PA-C (NPI 1083460927) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-15122) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083460927

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY GRACE WISECredential: PA-C

Location Address201 S COLLEGE ST FL 12Charlotte, NC 28244-0002

Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 918-1934

Phone(704) 489-3010

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 29, 2024

Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1083460927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15122

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

201 S COLLEGE ST FL 12, Charlotte, NC 28244

Open in Google Maps ↗

Secondary Practice Location 1

Location 12820 Forest DrCharlotte, NC 28211-2116 · Phone (704) 351-1398

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Grace Wise Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082137666

PECOS Enrollment IDI20250912001309

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAIRE ANNE EVANS WILDER MD

Internal Medicine