ELLIOTT WISE PA-C
NPI 1477818292
Physician Assistant in Maple Grove, MN

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elliott Wise Pa-c NPPES

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

ELLIOTT WISE PA-C (NPI 1477818292) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (11264) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1477818292
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameELLIOTT WISECredential: PA-C
Location Address9645 GROVE CIR N STE 200Maple Grove, MN 55369-2684
Mailing Address9645 Grove Cir N Ste 200Maple Grove, MN 55369-2684 · (763) 201-8191 · Fax (763) 201-8192
Fax(763) 201-8192
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 9, 2012
Last NPPES UpdateJuly 31, 2019
NPI 1477818292 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 · 11264
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.

9645 GROVE CIR N STE 200, Maple Grove, MN 55369

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

Elliott 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 ID5294988341
PECOS Enrollment IDI20130123000473
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 8

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.
320 services108 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
150 services76 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.
137 services93 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
91 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
32 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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 16

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

Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

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 Elliott Wise's NPI number?

The NPI number for Elliott Wise is 1477818292. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Elliott Wise located?

Elliott Wise practices at 9645 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Elliott Wise's specialty?

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

Is Elliott Wise enrolled in Medicare?

Yes. Elliott 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 Elliott Wise accept?

Health plans from Medica list Elliott 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.

When was this NPI record last updated?

The NPPES record for Elliott Wise was last updated on July 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.