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Kady Nicole Wise , PA

Physician Assistant • Deltona, FL

Active NPI 1881139491 Individual Practitioner Female Practitioner
Practice location in NPPES

596 Courtland Blvd
Deltona, FL 327388902

Call 4072491234 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

596 Courtland Blvd

Deltona, FL 327388902

Telephone 4072491234
Fax 4072491755
Organization at the Same NPPES Address or Phone
Saltzman, Tanis, Pittel, Levin And Jacobson, Llc Facility NPI 1013666775

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $41.39 across 2 records.

By nature of payment

  • Food and Beverage: $41.39 across 2 records.

Reporting-company totals

  • Mirum Pharmaceuticals, Inc.: $23.31 across 1 record.
  • Cranial Technologies, Inc: $18.08 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Deltona and Florida

4 active clinicians are listed under Physician Assistant with a practice address in Deltona, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $41.39.

Manufacturer Payment Nature Product Type Amount ($)
Mirum Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
CHOLBAM General $23.31
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $18.08

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL 9110125

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location January 17, 2024

Registered at 596 COURTLAND BLVD, DELTONA, FL 327388902 (Tel: 4072491234)

📍
Updated Business Mailing Address January 17, 2024

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 9549676400)

👤
Provider Name / Credentials Updated January 17, 2024

Recorded as KADY WISE, PA

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NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 05, 2017

Registered at 4958 SUN N LAKE BLVD, STE B, SEBRING, FL 338722167 (Tel: 8633858004)

📍
Business Mailing Address (Initial Record) January 05, 2017

Registered at 1995 SUNNY DALE DR, TALLAHASSEE, FL 323124269 (Tel: 3255188358)

👤
Provider Name / Credentials (Initial Record) January 05, 2017

Recorded as KADY PRYDE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Physician Assistant (license number reported to NPPES: FL 9110125)

🟢
Initial NPI Registration & Enumeration January 05, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881139491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2017
Last Update: January 17, 2024
Sole Proprietor: No

Other Physician Assistants in Deltona

Healthcare providers in Deltona

Mailing Address

900 S Pine Island Rd Ste 800

Plantation, FL 333243923

Phone: 9549676400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.