PAUL R. WISE PA
NPI 1639194707
Physician Assistant - Surgical in Schenectady, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
1101 NOTT ST, SCHENECTADY, NY 12308(518) 243-4000 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul R. Wise Pa NPPES

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

PAUL R. WISE PA (NPI 1639194707) is an individual surgical provider in Schenectady, New York, licensed in New York (006039) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1639194707
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePAUL R. WISECredential: PA
Location Address1101 NOTT STSchenectady, NY 12308-2425
Mailing Address1462 Erie Blvd, Suite 2Schenectady, NY 12305-1026 · (518) 243-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 14, 2007
NPI 1639194707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 006039
1101 NOTT ST, Schenectady, NY 12308

Other Identifiers 4

Medicare UPINS39785NY
Other040426006789NY · Fideliscare
Medicare ID-Type UnspecifiedF71022NY
Other000493430001NY · Blue Shield

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

Paul R. 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 ID7911990569
PECOS Enrollment IDI20040407001396
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.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
1101 NOTT ST
SCHENECTADY, NY 12308
Emergency Medicine
1101 NOTT ST, @ ELLIS HOSPITAL ER DEPT.
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Physician Assistant
1101 NOTT ST
SCHENECTADY, NY 12308
Emergency Medicine
1101 NOTT ST, DEPARTMENT OF EMERGENCY
SCHENECTADY, NY 12308

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 Paul Wise's NPI number?

The NPI number for Paul Wise is 1639194707. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Paul Wise located?

Paul Wise practices at 1101 Nott St, Schenectady, NY 12308. The listed phone number is (518) 243-4000.

What is Paul Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Paul Wise enrolled in Medicare?

Yes. Paul 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.

Is Paul Wise affiliated with any hospitals?

According to CMS data, Paul Wise is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Paul Wise was last updated on July 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.