Erin Brooke Wetherill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05729 Issued in NC

Practice address

3840 Ed Dr
Suite 111
Raleigh, NC 27612-8005

Phone

(919) 571-3661

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Merit-based Incentive Payment System (MIPS)

Final score

68.06 of 100Reported as group

Quality

40

Improvement activities

40

Cost

73.54

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDFBCD/Endpoint/EDFBCD

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.

• Julia Warren-Ulanch, MD

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  • Raleigh, NC
  • NPI 1912008459
  Medicare reassignment
• Creedmoor Centre Endocrinology PA

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1841627692
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1124408497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 ED DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128005",
            "telephone_number": "919-571-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 ED DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128005",
            "telephone_number": "919-571-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERILL",
        "first_name": "ERIN",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westford Youth and Family Services
• Westgate Logistics Inc
• Lynda Rigsbee Weston, M.D.
• Jamie Westphalen, COTA
• Samantha M Westrich
• Bonnie Colleen Wetzel, MSW, LCSW
• Caitlin Meredith Wetzel, PA-C
• Lyndsay Isil Weyers, M.D.
• Wha P.K.a. Wilkerson OBGYN
• Jessica Whalen

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.