Anne Ellen Wacker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12745 Issued in NC

Practice address

711 New Leicester Hwy
Asheville, NC 28806-1048

Phone

(828) 253-3717

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  Medicare reassignment Care Compare group NPD
• Appalachian Mountain Community Health Centers

  dba Tallulah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Robbinsville, NC
  • NPI 1780064832
  Medicare reassignment
• Appalachian Mountain Community Health Centers

  dba Sylva Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sylva, NC
  • NPI 1841644531
  NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1225743354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N LYNBROOK DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360270",
            "telephone_number": "704-763-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NEW LEICESTER HWY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061048",
            "telephone_number": "828-253-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "ANNE",
        "middle_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vox Penita Inc. (Connections Speech and Language Therapy, LLP)
• Diane E. Voytek, PH.D.
• Lisa Vuchak, BA, QP
• Snehal C Vyas, M.D.
• W.N.C. Ear Nose Throat Head and Neck Surgeons, PA
• Shannon Marie Waddell, AGNP-C, AGPCNP-BC
• Alexey Wade, RN
• Jacqueline Suros Wade, SLP
• Jasmine Dawn Wade, NP
• Mary Lorena Wade, M.D.

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.

Verify at the official NPI Registry.