Individual provider Active NPI

Michael Scott Wetzel, P.A.-C

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1164589651
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055843 Issued in PA
Practice address
2649 Schoenersville Rd Ste 104
Bethlehem, PA 18017-7317
Phone
(484) 884-1011
Fax
(484) 884-1012
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00074400 NJ
Physician Assistant 363A00000X MA055843 PA
Medical Physician Assistant 363AM0700X MA055843 PA Primary

Addresses

Primary practice location

2649 Schoenersville Rd Ste 104
Bethlehem, PA 18017-7317

Mailing address

931 N 32ND St
Allentown, PA 18104-3403
Phone (973) 879-3597

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other identifiers 1

IdentifierTypeStateIssuer
MA055843OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20141121001863 PA Practitioner - Physician Assistant 8426221912 Reassigns benefits to 2 organizations
I20150324001448 NJ Practitioner - Physician Assistant 8426221912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055843PAMDMedical Physician Assistant
25MP00074400NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Nov 6, 2021 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Oct 6, 2014 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 6, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 6, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Dec 16, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 6, 2021 Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: mwetzel182324@ahs.direct-ci.com
  • Direct secure messaging: mwetzel680613@direct2.lvhn.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician Group 2,512 clinicians
St Josephs Healthcare Inc 21 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

703 Main St
Paterson, NJ 07503-2621
Phone (973) 977-2000

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164589651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N 32ND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043403",
            "telephone_number": "973-879-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 SCHOENERSVILLE RD STE 104",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177317",
            "telephone_number": "484-884-1011",
            "fax_number": "484-884-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-754-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00074400",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055843",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA055843",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.