Individual provider Active NPI

Michaela Sophie Herzing

  • Medical Physician Assistant
  • Saint Marys, PA
National Provider Identifier
1124976691
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA067635 Issued in PA
Practice address
917 S Saint Marys St
Saint Marys, PA 15857-2828
Phone
(814) 389-1026
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X MA067635 PA Primary

Addresses

Primary practice location

917 S Saint Marys St
Saint Marys, PA 15857-2828

Mailing address

1413 Front St
Ridgway, PA 15853-2349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 Bristol Lane
Ellicohville, NY 14731-0500

PO Box
Suite 500
Ellicottville, NY 14731-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA067635PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC Single Specialty CurrentSince Aug 31, 2026 Accepting new patients
Wellnow Urgent Care, PC Single Specialty PastSince Aug 31, 2026 Accepting new patients

Locations

917 S Saint Marys St
Saint Marys, PA 15857
Phone (814) 389-1026

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1124976691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 FRONT ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S SAINT MARYS ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572828",
            "telephone_number": "814-389-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZING",
        "first_name": "MICHAELA",
        "middle_name": "SOPHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA067635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.