Individual provider Active NPI

Wayne A Willmer, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1588851646
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053127 Issued in PA
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

Updated by the provider on Sep 19, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000098 PA Practitioner - Physician Assistant 9032208368 Reassigns benefits to 3 organizations

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
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

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

LicenseStateTypeSpecialty
MA053127PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2012 Accepting new patients
Monogram Health Professional Services PC CurrentSince Aug 2, 2024 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Mar 23, 2026 Accepting new patients
St Clair Medical Services Inc CurrentSince Mar 23, 2026 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2012 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.