NPIMap

Individual provider Active NPI

Alison Lee Wieland, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1114222940
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00245800 Issued in NJ
Practice address
4825 Creekstone Dr Ste 250
Durham, NC 27703-5430
Phone
(610) 704-9914
NPI assigned
Jan 26, 2011
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 0010-08477 NC
Physician Assistant 363A00000X 25MP00245800 NJ Primary

Addresses

Primary practice location

4825 Creekstone Dr Ste 250
Durham, NC 27703-5430

Mailing address

1420 Whittington Dr
Raleigh, NC 27614-8755
Phone (610) 704-9914

Other practice location 1

2950 College Dr
Suite 2E
Vineland, NJ 08360-6933
Phone (856) 405-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120905000133 NY Practitioner - Physician Assistant 6507033727 Reassigns benefits to 1 organization
I20190311002613 NC Practitioner - Physician Assistant 6507033727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

20 Duke Medicine Cir
Durham, NC 27710-2000
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08477NCMDSurgery Physician
015611NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 1, 2012 Accepting new patients
Duke Health Integrated Practice, Inc. Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Montefiore Medical Center Multi-Specialty CurrentSince Aug 1, 2012 Accepting new patients
Duke Health Integrated Practice, Inc Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

4825 Creekstone Dr
Ste 250
Durham, NC 27703
Phone (610) 704-9914

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

Interoperability endpoints

  • Direct secure messaging: awieland417382@direct.medicine.duke.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1114222940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WHITTINGTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148755",
            "telephone_number": "610-704-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 CREEKSTONE DR STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035430",
            "telephone_number": "610-704-9914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 College Dr",
            "address_2": "Suite 2E",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606933",
            "country_code": "US",
            "telephone_number": "856-405-0025",
            "fax_number": "856-462-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "ALISON",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "0010-08477",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00245800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.