Individual provider Active NPI

Matthew Wolf

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1225672793
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006404 Issued in PA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205000849 PA Practitioner - Physician Assistant 5496188492 Reassigns benefits to 3 organizations

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 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061256PAMDPhysician Assistant
OA006404PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jun 1, 2025 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince May 1, 2023 Accepting new patients
Upmc Hamot Past Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases PastSince Jun 16, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.