Alivia Wieseler

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6051 Issued in AZ

Practice address

1637 E Monument Plaza Cir Ste 1
Casa Grande, AZ 85122-5639

Phone

(520) 426-1512

Fax

(520) 426-1750

NPI assigned

May 25, 2015

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

91.42 of 100Reported as group

Quality

100

Improvement activities

40

Cost

71.42

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Regency Reconstruction PLLC

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1972086924
  NPD (past)

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1588043475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "STE 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584485",
            "telephone_number": "520-426-1512",
            "fax_number": "520-426-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIR STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225639",
            "telephone_number": "520-426-1512",
            "fax_number": "520-426-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESELER",
        "first_name": "ALIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Wetter, LPC
• Eric B Wheeler, PA-C
• Erica Hazel Whitney, OTRL, CHT
• Jake James Whitwam, PHARMD
• Whole Health Alliance
• Jordan Willbanks, DDS
• Clara Williams, LPC
• Khiara Brianne Williams, RN
• Marlyn Williams
• Pamela Nicole Williams, FNP-C

• Medical Physician Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.