Michael W Wilt, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

011849 Issued in NY

Practice address

1001 E 2ND St
Coudersport, PA 16915-8161

Phone

(814) 274-9300

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olean General Hospital Hospital, Olean, NY, CCN 330103

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
• Direct secure messaging: mwilt@gppc.medentdirect.com

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.

• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322

  PA

  Medicare reassignment Care Compare group
• Charles Cole Memorial Hospital

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Medicare reassignment
• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554
  NPD
• Charles Cole Memorial Hospital D/B/a Upmc Cole

  • Dentist
  • Coudersport, PA
  • NPI 1548618853
  NPD
• Exigence of Bradford LLC

  • Emergency Medicine Physician
  • Bradford, PA
  • NPI 1942452933
  NPD (past)
• Olean General Hospital

  • Intermediate Emergency Medical Technician
  • Bradford, PA
  • NPI 1205091899
  NPD (past)
• Olean General Hospital

  • General Acute Care Hospital
  • Bradford, PA
  • NPI 1578569885
  NPD (past)
• Olean Open MRI PC

  • Diagnostic Radiology Physician
  • Olean, NY
  • NPI 1891736302
  NPD (past)
• Sleep Insights Medical Services, LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Rochester, NY
  • NPI 1538345814
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Olean General Hospital

  • General Acute Care Hospital
  • Olean, NY
  • NPI 1225083074
  Care Compare affiliation
• Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
  • NPI 1699715904
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1598856114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALKER AVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011230",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "NY",
            "postal_code": "147271317",
            "country_code": "US",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILT",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Weisner
• Lisa Werner, PTA
• Western New York Med-Psych PLLC
• Nicole Wilson, LSW
• Shannen Irene Wilson
• Deanna Rea Yost, AU.D.

• Medical Physician Assistant in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.

Verify at the official NPI Registry.