Individual provider Active NPI

Meghan Renee Wilber, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1124756143
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028605-01 Issued in NY
Practice address
564 Niagara St BLDG 2
Buffalo, NY 14201-1108
Phone
(855) 442-8146
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 028605-01 NY Primary

Addresses

Primary practice location

564 Niagara St BLDG 2
Buffalo, NY 14201-1108

Mailing address

564 Niagara St BLDG 2
Buffalo, NY 14201-1108
Phone (716) 882-0366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20221121002211 NY Practitioner - Physician Assistant 7416325592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028605NYMDSpeech-Language Pathologist
028605-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Dec 29, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Dec 29, 2024 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Jan 25, 2025 Accepting new patients
University of Rochester CurrentSince Dec 29, 2024 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: mwilber543111@direct.urmc.rochester.edu

Organizations & group practices 7

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 5

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1124756143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST BLDG 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-882-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST BLDG 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "855-442-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBER",
        "first_name": "MEGHAN",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028605-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.