Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Elliott Wise , PA-C

Physician Assistant โ€ข Maple Grove, MN

Active NPI 1477818292 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

9645 Grove Cir N Ste 200
Maple Grove, MN 553692684

Call 7632018191 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

9645 Grove Cir N Ste 200

Maple Grove, MN 553692684

Telephone 7632018191
Fax 7632018192
Organization at the Same NPPES Address or Phone
Interventional Spine And Pain Physicians, Pa Facility NPI 1326398561

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

CMS Doctors and Clinicians lists 1 group name: Interventional Spine And Pain Physicians Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

171 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $72,700 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $61,976 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,681 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$249,225 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,402.17 across 21 records.

By nature of payment

  • Food and Beverage: $1,402.17 across 21 records.

Reporting-company totals (3 largest of 7)

  • Boston Scientific Corporation: $395.58 across 5 records.
  • BIOTRONIK NRO, Inc.: $319.44 across 6 records.
  • Saluda Medical Americas, Inc.: $211.36 across 5 records.

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

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Enrolled in Medicare (PECOS)

Elliott Wise has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

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

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Elliott 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 Maple Grove and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: 263. Middle half: 162 to 692.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $20,276. Middle half: $9,958 to $36,014.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $14,789. Middle half: $7,778 to $24,833.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 40 clinicians with data). Median for this group: 833. Middle half: 275 to 1,928.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 40 clinicians with data). Median for this group: $61,272. Middle half: $3,116 to $172,934.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.

62 active clinicians are listed under Physician Assistant with a practice address in Maple Grove, MN (4,007 in Minnesota).

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

Telehealth indicator in Maple Grove

38.7% of these 62 clinicians have the CMS telehealth indicator.

80.6% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 21 records totaling $1,402.17.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $171.26
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTELLIS ADAPTIVESTIM General $164.37
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $161.28
Nalu Medical, Inc.
Food and Beverage
In-kind items and services
Nalu Neurostimulation System General $148.45
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $147.97
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $124.58
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $120.33
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Senza General $120.01
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WaveWriter Alpha Prime 16 General $47.31
Abbott Laboratories
Food and Beverage
In-kind items and services
PROCLAIM General $27.68
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $23.86
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $23.20
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $21.34
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $20.46
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $18.38
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $15.55
Abbott Laboratories
Food and Beverage
In-kind items and services
PROCLAIM General $15.28
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $13.38
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $9.61
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WaveWriter Alpha Prime 16 General $6.12
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $1.75

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
320 108 $273.41 $74.85
80307 Testing for presence of drug, by chemistry analyzers
150 76 $395.00 $60.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
137 93 $389.66 $104.84
G0482 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
91 41 $724.50 $192.81
G0444 Annual depression screening, 5 to 15 minutes
32 32 $64.06 $15.83
G0481 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
32 17 $483.00 $153.46
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
29 29 $103.97 $27.90
G0480 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
15 13 $241.50 $106.30

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 445 12,190 $11,189.08 78
Oxycodone Hcl Oxycodone Hcl 396 10,699 $6,610.44 80
Morphine Sulfate Er Morphine Sulfate 395 11,136 $8,943.21 52
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 286 7,558 $6,389.32 73
Gabapentin Gabapentin 236 8,721 $3,565.54 60
Pregabalin Pregabalin 221 7,649 $3,678.28 55
Topiramate Topiramate 158 7,302 $1,708.78 32
Belbuca Buprenorphine Hcl 143 3,796 $99,932.47 30
Tramadol Hcl Tramadol Hcl 136 3,739 $1,236.07 28
Tizanidine Hcl Tizanidine Hcl 131 4,380 $920.87 43
Buprenorphine Buprenorphine 131 3,640 $30,558.38 35
Fentanyl Fentanyl 100 2,847 $15,736.58 14
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl 90 2,340 $10,633.52 16
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 86 2,670 $1,336.70 27
Buprenorphine Hcl Buprenorphine Hcl 68 1,995 $1,767.03 13
Duloxetine Hcl Duloxetine Hcl 60 2,880 $899.87 15
Oxycontin Oxycodone Hcl 55 1,550 $27,491.42 โ€”
Baclofen Baclofen 49 1,590 $554.08 โ€”
Methocarbamol Methocarbamol 39 1,227 $666.66 13
Meloxicam Meloxicam 28 870 $150.36 โ€”
Diclofenac Sodium Diclofenac Sodium 25 731 $474.00 โ€”
Lidocaine Lidocaine 24 750 $4,380.09 โ€”
Methadone Hcl Methadone Hcl 24 682 $572.21 โ€”
Nortriptyline Hcl Nortriptyline Hcl 19 750 $293.72 โ€”
Acetaminophen-Codeine Acetaminophen With Codeine 15 450 $1,621.63 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 11264

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20130123000473

Enrollment State Jurisdiction

MN

PECOS Control ID

5294988341

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Interventional Spine And Pain Physicians Pa

916 Saint Peter St, Delano, MN 553282813

Phone: 7632018191

Interventional Spine And Pain Physicians Pa

320 Coon Rapids Blvd Nw, Coon Rapids, MN 554335640

Phone: 7632018191

Interventional Spine And Pain Physicians Pa

9645 Grove Cir N, Maple Grove, MN 553692684

Phone: 7632018191

Clinicians Sharing This Practice Address or Phone

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

40 listed
Emily Aeshliman , OTR, L

Occupational Therapist

NPI 1326553165

Occupational Therapist Registered, L

Dr. William Ahlenius , MD

Physical Medicine & Rehabilitation

NPI 1811940117

Doctor of Medicine (M.D.)

Danielle Anderson , FNP-C

Nurse Practitioner - Family

NPI 1629778014

Family Nurse Practitioner (Certified)

Laurie Applebee , PT

Physical Therapist

NPI 1629181755

Physical Therapist

Dr. Ronald Boeding , MD

Anesthesiology - Pain Medicine

NPI 1104093152

Doctor of Medicine (M.D.)

Alexis Bolick , PA-C

Physician Assistant

NPI 1255660452

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location July 31, 2019

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553692684 (Tel: 7632018191)

๐Ÿ“
Updated Business Mailing Address July 31, 2019

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553692684 (Tel: 7632018191)

๐Ÿ‘ค
Provider Name / Credentials Updated July 31, 2019

Recorded as ELLIOTT WISE, PA-C

โœ…
NPI Profile Active March 12, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 12, 2015

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

๐Ÿ“
Business Mailing Address (Initial Record) March 12, 2015

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 12, 2015

Recorded as ELLIOTT WISE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2015

Physician Assistant (license number reported to NPPES: MN 11264)

๐ŸŸข
Initial NPI Registration & Enumeration July 09, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477818292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2012
Last Update: July 31, 2019
Sole Proprietor: No

Other Physician Assistants in Maple Grove

All Physician Assistants in Maple Grove

Mailing Address

9645 Grove Cir N Ste 200

Maple Grove, MN 553692684

Phone: 7632018191

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.