Individual provider Active NPI

Aubrey Wilcox

  • Physician Assistant
  • East Greenville, PA
National Provider Identifier
1649130568
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067147 Issued in PA
Practice address
2053 Silo LN
East Greenville, PA 18041-2340
Phone
(267) 718-5323
NPI assigned
Nov 13, 2025
Reactivated
Mar 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067147 PA Primary

Addresses

Primary practice location

2053 Silo LN
East Greenville, PA 18041-2340

Mailing address

2053 Silo LN
East Greenville, PA 18041-2340

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
I20260313001305 PA Practitioner - Physician Assistant 5496238875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Temple University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

428 S 7TH St
Suite 4
Lehighton, PA 18235-1818

7 Clyde Rd
Somerset, NJ 08873-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA067147PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Geriatrics Associates LLC CurrentSince Jan 31, 2026 Accepting new patients

Locations

428 S 7th St
Ste 4
Lehighton, PA 18235
Phone (610) 824-8350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1649130568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 SILO LN",
            "city": "EAST GREENVILLE",
            "state": "PA",
            "postal_code": "180412340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 SILO LN",
            "city": "EAST GREENVILLE",
            "state": "PA",
            "postal_code": "180412340",
            "telephone_number": "267-718-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2026-03-03",
        "reactivation_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenville, PA

Sources for this page

Verify at the official NPI Registry.