Individual provider Active NPI

Natalie R Wisneski, PA-C

  • Medical Physician Assistant
  • Bensalem, PA
National Provider Identifier
1265843916
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA003288 Issued in PA
Practice address
1336 Bristol Pike Ste 103
Bensalem, PA 19020-5660
Phone
(215) 638-3444
Fax
(215) 638-3449
NPI assigned
May 15, 2014
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00331600 NJ
Medical Physician Assistant 363AM0700X OA003288 PA Primary

Addresses

Primary practice location

1336 Bristol Pike Ste 103
Bensalem, PA 19020-5660

Mailing address

1336 Bristol Pike
Bensalem, PA 19020-5660
Phone (215) 638-3444

Other names 1

  • Natalie Schaefer Former name

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
I20141105002029 PA Practitioner - Physician Assistant 7810119963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

1336 Bristol Pike
Bensalem, PA 19020-5660

339 E St Rd
Stoltz and Hahn Medical Associates
Trevose, PA 19053
Phone (215) 464-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00331600NJMDMedical Physician Assistant
OA003288PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stoltz and Hahn Medical Assoiciates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: natalie.wisneski@607767797039108.direct.elationemr.com

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, 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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1265843916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444",
            "fax_number": "215-638-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE STE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444",
            "fax_number": "215-638-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNESKI",
        "first_name": "NATALIE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00331600",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "SCHAEFER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.