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Ellen Grace Wise

Physician Assistant β€’ Brunswick, ME

Active NPI 1144176538 Individual Practitioner Female Practitioner
Practice location in NPPES

193 Bath Rd
Brunswick, ME 040112607

Call 2074242272 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

193 Bath Rd

Brunswick, ME 040112607

Telephone 2074242272
Organization at the Same NPPES Address or Phone
Convenientmd Llc Facility NPI 1457970592

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Royal Palm Beach, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

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, β€œDoes 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

Can order Medicare-covered services

CMS lists Ellen Wise as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brunswick and Maine

22 active clinicians are listed under Physician Assistant with a practice address in Brunswick, ME (979 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brunswick

0% of these 22 clinicians have the CMS telehealth indicator.

72.7% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ME PA3080

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: Maine State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9801 Belvedere Rd

Royal Palm Beach, FL 334113640

Phone: 5612736500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Sheila Hospidales , FNP-BC

Nurse Practitioner - Family

NPI 1003442179

Family Nurse Practitioner (Board Certified)

Julia Hussey , PA-C

Physician Assistant

NPI 1952842965

Physician Assistant (Certified)

Jennifer Reardon , FNP

Nurse Practitioner - Family

NPI 1902405582

Family Nurse Practitioner

Benjamin Tyau , PA-C

Physician Assistant

NPI 1992076111

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location July 22, 2026

Registered at 193 BATH RD, BRUNSWICK, ME 040112607 (Tel: 2074242272)

πŸ“
Updated Business Mailing Address July 22, 2026

Registered at 360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 038017105 (Tel: 6034106700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Physician Assistant (license number reported to NPPES: ME PA3080)

βœ…
NPI Profile Active March 09, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2026

Registered at 9801 BELVEDERE RD, ROYAL PALM BEACH, FL 334113640 (Tel: 5612736500)

πŸ“
Business Mailing Address (Initial Record) March 09, 2026

Registered at 9801 BELVEDERE RD, ROYAL PALM BEACH, FL 334113640

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2026

Recorded as ELLEN WISE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 09, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144176538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2026
Last Update: July 22, 2026
Sole Proprietor: No

Other Physician Assistants in Brunswick

All Physician Assistants in Brunswick

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

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.