Active NPI
Wayne A Willmer, PA-C
- Medical Physician Assistant
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053127
- Practice address
- 490 E North Ave
Ste. G105
Pittsburgh, PA 15212-4740 - Phone
- (412) 359-8820
- Fax
- (412) 359-8222
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053127 | PA | Primary |
Addresses
Primary practice location
490 E North Ave
Ste. G105
Pittsburgh, PA 15212-4740
Mailing address
490 E North Ave
Ste. G105
Pittsburgh, PA 15212-4740
Phone (412) 359-8820
Other practice location 1
695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 653-5556
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Market St
Suite 3600
Philadelphia, PA 19103-7334
Phone (855) 212-2273
2000 Oxford Dr
Suite 305
Bethel Park, PA 15102-1841
Phone (412) 942-7900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053127 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| St. Clair Medical Services, Inc. | Current | Accepting new patients | |
| St Clair Medical Services Inc | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Cardiothoracic Surgical Associates | Past | Accepting new patients | |
| St Clair Medical Services Inc | Past | Accepting new patients |
Locations
2000 Oxford Dr
Ste 305
Bethel Park, PA 15102
Phone (412) 942-7900
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
1000 Bower Hill Rd
Ste 7400
Pittsburgh, PA 15243
Phone (412) 429-8840
1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600
695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556
Interoperability endpoints
- wayne.willmer.1@22854.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1467485565
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Latrobe, PA
- NPI 1063793685
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Otolaryngology Physician
- Bethel Park, PA
- NPI 1659224715
-
- Endocrinology, Diabetes & Metabolism Physician
- Bethel Park, PA
- NPI 1255147872
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Greensburg, PA
- NPI 1164404653
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1447751979
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1073587119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1588851646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 E NORTH AVE",
"address_2": "STE. G105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124740",
"telephone_number": "412-359-8820",
"fax_number": "412-359-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 E NORTH AVE",
"address_2": "STE. G105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124740",
"telephone_number": "412-359-8820",
"fax_number": "412-359-8222"
}
],
"practiceLocations": [
{
"address_1": "695 Clairton Blvd",
"address_purpose": "LOCATION",
"city": "Pleasant Hills",
"state": "PA",
"postal_code": "152363811",
"country_code": "US",
"telephone_number": "412-653-5556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLMER",
"first_name": "WAYNE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.