MS. SHELLEY LYNN WYSE (P.A.-C) – Medical Physician Assistant, NPI 1114185907
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for MS. SHELLEY LYNN WYSE (P.A.-C)
200, Bradenton Avenue, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430177515
Phone: (937) 578-4040
Type: Mailing
388, Damascus Road, Marysville, Union County, Ohio, 43040, United States
MARYSVILLE, OH 430405535
Phone: (937) 578-4040
Fax: (937) 578-2591
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $821.
Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: ABBVIE INC. ($314).
Total Amount
$821
General + Research + Ownership
Payments
57
Total payment records
General Amount
$821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $314 |
| Abbott Laboratories | $56 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $53 |
| Merck Sharp & Dohme LLC | $53 |
| Lilly USA, LLC | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101019001526 | I | Physician Assistant | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | 50 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 47 | 47 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 33 | 14 | $0 |
Insurance plans in this area (ZIP 43017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 81002 | Urinalysis, manual test | 27 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH | |
| - | OH | |
| Family Practice | OH | |
| Clinical Social Worker | OH | |
| Sports Medicine | OH | |
| N E U R O L O G Y | OH | |
| General Surgery | OH |
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