Individual provider Active NPI

Emily Hattem

  • Medical Physician Assistant
  • Wilkes Barre, PA
National Provider Identifier
1629958574
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA067133 Issued in PA
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

Updated by the provider on Dec 15, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000119 PA Practitioner - Physician Assistant 8325538085 Reassigns benefits to 1 organization

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 Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067133PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group Current Accepting new patients
The Wright Center Medical Group CurrentSince Oct 15, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.