DANIEL LYNN WISE PHD, LP
NPI 1245465558
Psychologist - Clinical in Edina, MN

Q: What is Daniel Wise's NPI number?

The NPI number for Daniel Wise is 1245465558. It was assigned to this individual provider in the NPPES registry on May 16, 2009.

Q: What is Daniel Wise's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Wise was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 16, 2009PECOS EnrolledAccepts Medicare Assignment

5200 WILLSON RD STE 205, EDINA, MN 55424(612) 875-4449 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Aug 24, 2021, Jan 22, 2020 (3 updates tracked since 2020).

On this page

About Daniel Lynn Wise Phd, Lp NPPES

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

DANIEL LYNN WISE PHD, LP (NPI 1245465558) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (LP6424) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2008).

NPPES Registry Identity

NPI1245465558

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDANIEL LYNN WISECredential: PHD, LP

Location Address5200 WILLSON RD STE 205Edina, MN 55424-1343

Mailing Address5200 Willson Rd Ste 205Edina, MN 55424-1343 · (612) 875-4449

Phone(612) 875-4449

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2008

Enumeration DateMay 16, 2009

Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1245465558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MN · LP6424✔ Licensed in KS · LP 1925✔ Licensed in MO · 2014023517

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5200 WILLSON RD STE 205, Edina, MN 55424

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Secondary Practice Location 1

Location 132 18th Ave NEMinneapolis, MN 55418-4202 · Phone (612) 875-4449

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

Daniel Lynn Wise Phd, Lp 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 ID446389993

PECOS Enrollment IDI20200325001136

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 55424 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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

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

DANIEL L WISE, PH.D., PA

Psychologist (Clinical)

5200 WILLSON RD STE 205
EDINA, MN 55424

Hennepin County (612) 875-4449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Wise's NPI number?

The NPI number for Daniel Wise is 1245465558. It was assigned to this individual provider in the NPPES registry on May 16, 2009.

Where is Daniel Wise located?

Daniel Wise practices at 5200 Willson Rd Ste 205, Edina, MN 55424. The listed phone number is (612) 875-4449.

What is Daniel Wise's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Daniel Wise enrolled in Medicare?

Yes. Daniel Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Wise was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.