Individual provider Active NPI

Wendy Ross, PA-C

  • Medical Physician Assistant
  • Corry, PA
National Provider Identifier
1538570296
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000838L Issued in PA
Practice address
45 E Washington St
Corry, PA 16407-1638
Phone
(814) 664-7761
NPI assigned
May 15, 2014
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000838L PA Primary

Addresses

Primary practice location

45 E Washington St
Corry, PA 16407-1638

Mailing address

963 Maple LN
Meadville, PA 16335-1142

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
I20150203001645 PA Practitioner - Physician Assistant 7012232697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, 77 clinicians

Practice addresses (Care Compare)

640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086

751 Liberty St
Meadville, PA 16335-2559

765 Liberty St
Meadville, PA 16335-2568

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA000838LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Titusville Area Hospital CurrentSince Jan 1, 2023 Accepting new patients
Titusville Area Hospital CurrentSince Jan 1, 2023 Accepting new patients
Meadville Medical Center Past Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

765 Liberty St
Ste 202
Meadville, PA 16335
Phone (814) 333-5888

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

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 2

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": "1476403200000",
    "number": "1538570296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 MAPLE LN",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E WASHINGTON ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071638",
            "telephone_number": "814-664-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WENDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000838L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.