Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144176538 Individual Practitioner Female Practitioner

Ellen Grace Wise

Physician Assistant • Brunswick, ME

Professional Overview & Biography Verified Profile Summary

Ellen Wise is a registered healthcare professional specializing in Physician Assistant in Brunswick, ME. Practice services are available at 193 BATH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

193 Bath Rd

Brunswick, ME 040112607

Telephone 2074242272
Associated Practice Facility / Clinic
🏢 Convenientmd Llc Facility NPI 1457970592

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brunswick, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Brunswick, ME (992 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

Secondary Practice Locations

9801 Belvedere Rd

Royal Palm Beach, FL 334113640

Phone: 5612736500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sheila Hospidales , FNP-BC

Nurse Practitioner - Family

NPI 1003442179

Family Nurse Practitioner (Board Certified)

Jennifer Reardon , FNP

Nurse Practitioner - Family

NPI 1902405582

Family Nurse Practitioner

Julia Hussey , PA-C

Physician Assistant

NPI 1952842965

Physician Assistant (Certified)

Benjamin Tyau , PA-C

Physician Assistant

NPI 1992076111

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 22, 2026

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

📍
Updated Business Mailing Address July 22, 2026

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

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

Physician Assistant (License #PA3080 in ME)

NPI Profile Active March 09, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2026

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

📍
Updated Business Mailing Address March 09, 2026

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

👤
Provider Name / Credentials Updated March 09, 2026

Recorded as ELLEN WISE

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.