Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Blakely David Wise , PA

Physician Assistant โ€ข Cornelius, NC

Active NPI 1396201935 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

20036 Zion Ave, Ste 100
Cornelius, NC 280318435

Call 7048017400 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

20036 Zion Ave
Ste 100

Cornelius, NC 280318435

Telephone 7048017400
Organization at the Same NPPES Address or Phone
Carolinas Physicians Network Inc Facility NPI 1003104183

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 4 distinct additional practice-address records in Charlotte, NC; Shelby, NC; Wadesboro, NC. See the list

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

CMS Doctors and Clinicians lists 1 group name: Atrium Health North Market Network Llc. 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

2018

Medicare patients

228 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 $21,369 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 $15,731 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

326 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

$1,958 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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $38.26 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 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

2019

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Blakely 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 Blakely 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 Cornelius and North Carolina

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Cornelius, NC (2024, 13 clinicians with data). Median for this group: 313. Middle half: 205 to 1,270.

Close to the middle for clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: 246. Middle half: 97 to 632.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Cornelius, NC (2024, 13 clinicians with data). Median for this group: $20,584. Middle half: $14,049 to $44,635.

Close to the middle for clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $18,105. Middle half: $8,009 to $38,173.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Cornelius, NC (2024, 13 clinicians with data). Median for this group: $15,347. Middle half: $10,792 to $32,623.

Close to the middle for clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $13,261. Middle half: $5,810 to $27,977.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Cornelius, NC (2024, 13 clinicians with data). Median for this group: 214. Middle half: 142 to 383.

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: 330. Middle half: 99 to 1,135.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Cornelius, NC (2024, 13 clinicians with data). Median for this group: $2,599. Middle half: $1,494 to $4,591.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: $8,985. Middle half: $887 to $130,574.

13 active clinicians are listed under Physician Assistant with a practice address in Cornelius, NC (9,288 in North Carolina).

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

Telehealth indicator in Cornelius

15.4% of these 13 clinicians have the CMS telehealth indicator.

61.5% of these 13 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): fewer than 11 records totaling $38.26.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $38.26

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 2018โ€“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, 2019โ€“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
122 117 $291.06 $78.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
46 46 $454.00 $96.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
39 38 $359.79 $110.43
71046 X-ray of chest, 2 views
23 23 $125.96 $23.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $640.00 $144.54
81003 Automated urinalysis test
13 12 $17.62 $2.20
69209 Removal of impacted ear wax by washing
12 12 $72.25 $16.70

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
Atorvastatin Calcium Atorvastatin Calcium 28 2,028 $228.33 15
Ipratropium Bromide Ipratropium Bromide 26 491 $550.86 24
Cephalexin Cephalexin 21 127 $115.08 21
Rosuvastatin Calcium Rosuvastatin Calcium 19 1,680 $91.43 12
Omeprazole Omeprazole 15 1,030 $197.46 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 15 105 $39.99 15
Levothyroxine Sodium Levothyroxine Sodium 13 1,170 $180.37 โ€”
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 13 92 $85.24 13
Albuterol Sulfate Hfa Albuterol Sulfate 13 303 $340.29 โ€”
Doxycycline Hyclate Doxycycline Hyclate 11 77 $100.05 11
Amlodipine Besylate Amlodipine Besylate 11 870 $28.72 โ€”

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

Self-certified to NPPES: 2025-04-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NC 0010-08866

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: North Carolina Medical Board.
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

I20190515000125

Enrollment State Jurisdiction

NC

PECOS Control ID

8628311636

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

Atrium Health North Market Network Llc

4525 Cameron Valley Pkwy, Charlotte, NC 282114369

Phone: 9804021800

Atrium Health North Market Network Llc

20036 Zion Ave, Cornelius, NC 280318435

Phone: 7048017400

Atrium Health North Market Network Llc

150 Professional Park Dr, Mooresville, NC 281175604

Phone: 7048017350

Atrium Health North Market Network Llc

16645 Birkdale Commons Pkwy, Huntersville, NC 280785669

Phone: 7048017390

Secondary Practice Locations

1000 Blythe Blvd

Charlotte, NC 282035812

Phone: 7043552000

2301 Us Highway 74 W

Wadesboro, NC 281707554

Phone: 7049944500

1100 Blythe Blvd

Charlotte, NC 282035814

Phone: 7043554300

201 E Grover St

Shelby, NC 281503917

Phone: 9804873000

Clinicians Sharing This Practice Address or Phone

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

5 listed
Shannon Butler , FNP

Nurse Practitioner - Family

NPI 1831514140

Family Nurse Practitioner

Nancy Deem , FNP

Nurse Practitioner - Family

NPI 1013269745

Family Nurse Practitioner

NPI 1952697096

Doctor of Medicine (M.D.)

NPI 1306861679

Doctor of Medicine (M.D.)

Michelle Lash , FNP

Nurse Practitioner - Family

NPI 1306604020

Family Nurse Practitioner

Career & Practice History Timeline

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

18 Historical Events
๐Ÿ“
Updated Practice Location September 25, 2025

Registered at 20036 ZION AVE, STE 100, CORNELIUS, NC 280318435 (Tel: 7048017400)

๐Ÿ“
Updated Business Mailing Address September 25, 2025

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

๐Ÿ“
Updated Practice Location April 09, 2025

Registered at 1006 W MAIN ST, BOZEMAN, MT 597153219 (Tel: 4064145000)

๐Ÿ“
Updated Business Mailing Address April 09, 2025

Registered at 915 HIGHLAND BLVD, BOZEMAN, MT 597156902

๐Ÿ“
Updated Practice Location December 18, 2023

Registered at 20036 ZION AVE, STE 100, CORNELIUS, NC 280318435 (Tel: 7048017400)

๐Ÿ“
Updated Practice Location January 26, 2023

Registered at 101 E W T HARRIS BLVD, STE 5002, CHARLOTTE, NC 282623485 (Tel: 7048017310)

๐Ÿ“
Updated Practice Location January 06, 2021

Registered at 101 E WT HARRIS BLVD, STE 5002, CHARLOTTE, NC 282623485 (Tel: 7048017310)

๐Ÿ“
Updated Business Mailing Address January 06, 2021

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

๐Ÿ‘ค
Provider Name / Credentials Updated January 06, 2021

Recorded as BLAKELY WISE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Physician Assistant (license number reported to NPPES: NC 0010-08866)

๐Ÿ“
Updated Practice Location March 16, 2019

Registered at 9611 SHERRILL ESTATES RD STE B, HUNTERSVILLE, NC 28078 (Tel: 4233437022)

๐Ÿ“
Updated Business Mailing Address March 16, 2019

Registered at PO BOX 9, ATTN CREDENTIALING, KINGSPORT, TN 37662 (Tel: 4238572066)

โœ…
NPI Profile Active February 19, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 19, 2019

Registered at 19485 OLD JETTON RD STE 100, CORNELIUS, NC 280316583 (Tel: 7041775442)

๐Ÿ“
Business Mailing Address (Initial Record) February 19, 2019

Registered at 312 JACK CORPENING RD, NEBO, NC 287616767 (Tel: 8284426466)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 19, 2019

Recorded as BLAKELY WISE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Physician Assistant (license number reported to NPPES: NC 0010-08866)

๐ŸŸข
Initial NPI Registration & Enumeration February 19, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396201935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2019
Last Update: September 25, 2025
Sole Proprietor: No

Other Physician Assistants in Cornelius

All Physician Assistants in Cornelius

Mailing Address

Po Box 19305

Charlotte, NC 282199305

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.