BLAKELY DAVID WISE PA
NPI 1396201935
Physician Assistant in Cornelius, NC

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
20036 ZION AVE, STE 100, CORNELIUS, NC 28031(704) 801-7400 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Apr 3, 2025, May 4, 2023 and 15 more (18 updates tracked since 2019).

About Blakely David Wise Pa NPPES

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

BLAKELY DAVID WISE PA (NPI 1396201935) is an individual physician assistant in Cornelius, North Carolina, licensed in North Carolina (0010-08866) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396201935
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKELY DAVID WISECredential: PA
Location Address20036 ZION AVE, STE 100Cornelius, NC 28031-8435
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
Last NPPES UpdateSeptember 25, 202518 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1396201935 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 · 0010-08866
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.
20036 ZION AVE, Cornelius, NC 28031

Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2000
Location 22301 US Highway 74 WWadesboro, NC 28170-7554 · Phone (704) 994-4500
Location 31100 Blythe BlvdCharlotte, NC 28203-5814 · Phone (704) 355-4300
Location 4201 E Grover StShelby, NC 28150-3917 · Phone (980) 487-3000

Accepted 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

Blakely David Wise Pa 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 ID8628311636
PECOS Enrollment IDI20190515000125
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services117 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services38 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28031 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 5

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

Nurse Practitioner (Family)
20036 ZION AVE, STE 100
CORNELIUS, NC 28031
Nurse Practitioner (Family)
20036 ZION AVE, STE 100
CORNELIUS, NC 28031
Family Medicine
20036 ZION AVE, STE 100
CORNELIUS, NC 28031
Nurse Practitioner (Family)
20036 ZION AVE, STE 100
CORNELIUS, NC 28031
Family Medicine
20036 ZION AVE, STE 100
CORNELIUS, NC 28031

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 Blakely Wise's NPI number?

The NPI number for Blakely Wise is 1396201935. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Blakely Wise located?

Blakely Wise practices at 20036 Zion Ave Ste 100, Cornelius, NC 28031. The listed phone number is (704) 801-7400.

What is Blakely Wise's specialty?

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

Is Blakely Wise enrolled in Medicare?

Yes. Blakely 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 Blakely Wise accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Mountain Health CO-OP and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Blakely 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 Blakely Wise affiliated with any hospitals?

According to CMS data, Blakely Wise is affiliated with Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Blakely Wise was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.