Active NPI
Emily Hattem
- Medical Physician Assistant
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA067133
- Practice address
- 169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603 - Phone
- (570) 491-0126
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- 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 | MA067133 | PA | Primary |
Addresses
Primary practice location
169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603
Mailing address
15 Bayberry Dr
Mahwah, NJ 07430-1502
Phone (201) 419-9300
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Bayberry Dr
Mahwah, NJ 07430-1502
501 S Washington Ave
Suite 1000
Scranton, PA 18505-3805
Hospital & facility affiliations
- Wilkes-Barre General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA067133 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wright Center Medical Group | Current | Accepting new patients | |
| The Wright Center Medical Group | Current | Accepting new patients |
Locations
260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150
103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545
1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980
5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019
329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250
200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253
501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058
1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280
312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567
1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335
169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1194739979
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1649836941
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1629958574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BAYBERRY DR",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301502",
"telephone_number": "201-419-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 N PENNSYLVANIA AVE",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187013603",
"telephone_number": "570-491-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTEM",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA067133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.