Active NPI
Matthew Wolf
- Physician Assistant
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA006404
- Practice address
- 145 W 23Rd St Ste 101
Erie, PA 16502-2858 - Phone
- (814) 454-1142
- Fax
- (814) 454-1255
- NPI assigned
- Oct 29, 2019
- Last updated
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA061256 | PA | |
| Physician Assistant | 363A00000X | OA006404 | PA | Primary |
Addresses
Primary practice location
145 W 23Rd St Ste 101
Erie, PA 16502-2858
Mailing address
2314 Sassafras Street
2ND Floor
Erie, PA 16502-2721
Phone (814) 452-5043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-5585
232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061256 | PA | MD | Physician Assistant |
| OA006404 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients | |
| Upmc Hamot | Past | Accepting new patients | |
| Saint Vincent Consultants in Cardiovascular Diseases | Past | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
145 W 23rd St
Ste 101
Erie, PA 16502
Phone (814) 452-2767
2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Interoperability endpoints
- mwolf583846@direct.ahn.org
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1902114911
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1225672793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 SASSAFRAS STREET",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165022721",
"telephone_number": "814-452-5043",
"fax_number": "814-452-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 101",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-454-1142",
"fax_number": "814-454-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA061256",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA006404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.