Individual provider Active NPI

Anna Wutkowski, PA-C

  • Physician Assistant
  • Doylestown, PA
National Provider Identifier
1104485028
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063518 Issued in PA
Practice address
100 Progress Dr Ste 102
Doylestown, PA 18901-2557
Phone
(215) 230-0600
Fax
(215) 230-7065
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063518 PA Primary

Addresses

Primary practice location

100 Progress Dr Ste 102
Doylestown, PA 18901-2557

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5285

Other names 1

  • Anna Stopa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013001150 NY Practitioner - Physician Assistant 5890161038 Reassigns benefits to 1 organization
I20240404002420 PA Practitioner - Physician Assistant 5890161038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

102 Progress Dr
Suite 202
Doylestown, PA 18901-2516
Phone (215) 230-5296

593 W State STR 3Rd Floor
Doylestown Surgery Center Urology
Doylestown, PA 18901-2554
Phone (215) 230-0600

595 W State St
Doylestown, PA 18901-2554

599 W State St
Suite 202
Doylestown, PA 18901-2554
Phone (215) 345-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024206NYMDOccupational Therapist
MA063518PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Specialty Associates CurrentSince Oct 9, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Oct 9, 2025 Accepting new patients
Via Affiliates CurrentSince May 1, 2024 Accepting new patients
New York University CurrentSince Aug 8, 2022 Accepting new patients
New York University CurrentSince Aug 8, 2022 Accepting new patients
Via Affiliates Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

102 Progress Dr
Ste 101
Doylestown, PA 18901
Phone (215) 230-0600

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

102 Progress Dr
Ste 202
Doylestown, PA 18901
Phone (215) 230-5296

205 Newtown Rd
Ste 102
Warminster, PA 18974
Phone (215) 348-1310

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Interoperability endpoints

  • Direct secure messaging: anna.stopa@dhcp.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1104485028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROGRESS DR STE 102",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012557",
            "telephone_number": "215-230-0600",
            "fax_number": "215-230-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTKOWSKI",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "STOPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.