Active NPI
Katherine Grace Wewel, PA
- Physician Assistant
- Peoria, AZ
National Provider Identifier
1316653744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9576
- Practice address
- 13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4264 - Phone
- (623) 876-8816
- Fax
- (623) 298-0168
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9576 | AZ | Primary |
Addresses
Primary practice location
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4264
Mailing address
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4264
Phone (623) 876-8816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140360 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14420 W Meeker Blvd
Suite 305
Sun City West, AZ 85375-5289
Phone (623) 876-8816
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
dba Cardiac Solutions
- Cardiovascular Disease Physician
- Peoria, AZ
- NPI 1649389156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1316653744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 N 94TH DR STE J1",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814264",
"telephone_number": "623-876-8816",
"fax_number": "623-298-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 N 94TH DR STE J1",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814264",
"telephone_number": "623-876-8816",
"fax_number": "623-298-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEWEL",
"first_name": "KATHERINE",
"middle_name": "GRACE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140360",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.