Individual provider Active NPI

Karlee Marie Wirth, PA-C

  • Medical Physician Assistant
  • Willow Grove, PA
National Provider Identifier
1629845805
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065246 Issued in PA
Practice address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone
(215) 657-6776
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA006751 PA
Medical Physician Assistant 363AM0700X MA065246 PA Primary

Addresses

Primary practice location

2360 Maryland Rd
Willow Grove, PA 19090-1709

Mailing address

700 Lower State Rd
Apt 25-B7
North Wales, PA 19454
Phone (724) 858-7225

Other practice location 1

801 Old York Rd Ste 320
Jenkintown, PA 19046-1611
Phone (215) 657-6776

Other practice location 2

727 Welsh Rd Ste 201
Huntingdon Valley, PA 19006-6311
Phone (215) 657-6776

Other practice location 3

599 W State St Ste 310
Doylestown, PA 18901-2567
Phone (215) 657-6776

Other practice location 4

1717 Langhorne Newtown Rd Ste 101
Langhorne, PA 19047-1002
Phone (215) 657-6776

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
I20240308000144 PA Practitioner - Physician Assistant 5395181747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA006751PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: karlee.wirth.p1@direct.arthritispa.nextgenshare.com

Organizations & group practices 1

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 6

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1629845805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOWER STATE RD",
            "address_2": "APT 25-B7",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19454",
            "telephone_number": "724-858-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901709",
            "telephone_number": "215-657-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Old York Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190461611",
            "country_code": "US",
            "telephone_number": "215-657-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 Welsh Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190066311",
            "country_code": "US",
            "telephone_number": "215-657-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 W State St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012567",
            "country_code": "US",
            "telephone_number": "215-657-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Langhorne Newtown Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471002",
            "country_code": "US",
            "telephone_number": "215-657-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "KARLEE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006751",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.