Active NPI
Matthew Wilhelm, PA-C
- Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2018-0077
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-2111
- NPI assigned
- Sep 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2018-0077 | NM | Primary |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
2110 Lead Ave SE
Albuquerque, NM 87106-4008
Phone (858) 243-0859
Other practice location 1
61250 SE Coombs Pl
Bend, OR 97702-3704
Phone (541) 706-5935
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilhelm188402@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920
61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935
Hospital & facility affiliations
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Unm Hospital | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930
470 NE A St
Madras, OR 97741
Phone (541) 383-3668
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
Emergency Medicine
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Emergency Medicine
-
- Emergency Medicine Physician
- Santa Fe, NM
- NPI 1417901612
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
- Air Ambulance
- Albuquerque, NM
- NPI 1558054684
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Home Health Agency
- Madras, OR
- NPI 1225226004
-
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1093263105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 LEAD AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064008",
"telephone_number": "858-243-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062719",
"telephone_number": "505-272-2111"
}
],
"practiceLocations": [
{
"address_1": "61250 SE Coombs Pl",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977023704",
"country_code": "US",
"telephone_number": "541-706-5935",
"fax_number": "541-706-5936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHELM",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-18",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2018-0077",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilhelm188402@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "61250 SE Coombs Pl",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977023704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.