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AMY R WISE PA-C
NPI 1245602481
Physician Assistant in Waconia, MN

Active since October 27, 2015PECOS EnrolledAccepts Medicare Assignment
820 VILLAGE WAY STE 200, WACONIA, MN 55387(952) 442-2163(952) 456-7895 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2025, Aug 29, 2023, Aug 14, 2023 and 1 more (4 updates tracked since 2022).

About Amy R Wise Pa-c NPPES

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

AMY R WISE PA-C (NPI 1245602481) is an individual physician assistant in Waconia, Minnesota, licensed in Minnesota (14659) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1245602481
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY R WISECredential: PA-C
Location Address820 VILLAGE WAY STE 200Waconia, MN 55387-4612
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 486-5143
Phone(952) 442-2163
Fax(952) 456-7895
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2023
Enumeration DateOctober 27, 2015
Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1245602481 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 MN · 14659
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.
820 VILLAGE WAY STE 200, Waconia, MN 55387
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Other Names 1

Former Name (1)Amy R Kennedy Atc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Amy R 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 ID9234586165
PECOS Enrollment IDI20231114001514
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 2

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

INFINITE HEALTH COLLABORATIVE, PA
Durable Medical Equipment & Medical Supplies
820 VILLAGE WAY STE 200
WACONIA, MN 55387
Carver County (952) 442-2163
DR. HAYDEN SCHUETTE DO
Orthopaedic Surgery
820 VILLAGE WAY STE 200
WACONIA, MN 55387
Carver County (952) 442-2163

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 Amy Wise's NPI number?

The NPI number for Amy Wise is 1245602481. It was assigned to this individual provider in the NPPES registry on October 27, 2015. The provider is also known as Amy R Kennedy Atc.

Where is Amy Wise located?

Amy Wise practices at 820 Village Way Ste 200, Waconia, MN 55387. The listed phone number is (952) 442-2163.

What is Amy Wise's specialty?

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

Is Amy Wise enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Wise accept?

Health plans from HealthPartners and Medica list Amy Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Wise affiliated with any hospitals?

According to CMS data, Amy Wise is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Wise was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.