MELISSA SUE WILEY PA-C
NPI 1700143658
Physician Assistant - Medical in Morristown, TN

Q: What is Melissa Wiley's NPI number?

The NPI number for Melissa Wiley is 1700143658. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Q: What is Melissa Wiley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Wiley was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 17, 2012PECOS Enrolled

2815 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814(423) 587-3480(423) 289-1973 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Melissa Sue Wiley Pa-c NPPES

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

MELISSA SUE WILEY PA-C (NPI 1700143658) is an individual medical provider in Morristown, Tennessee, licensed in Tennessee (2140) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700143658

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMELISSA SUE WILEYCredential: PA-C

Location Address2815 W ANDREW JOHNSON HWYMorristown, TN 37814-3216

Mailing Address2815 W Andrew Johnson HwyMorristown, TN 37814-3216 · (423) 587-3480 · Fax (423) 289-1973

Phone(423) 587-3480

Fax(423) 289-1973

Sole ProprietorNo

Enumeration DateApril 17, 2012

Last NPPES UpdateOctober 16, 2014

✔ NPI 1700143658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 2140

2815 W ANDREW JOHNSON HWY, Morristown, TN 37814

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Sue Wiley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

DANA PHILLIPS MORELAND FNP

Nurse Practitioner