Marissa Lindsey Wedel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD474785 Issued in PA

Practice address

Pennsylvania Retina Specialists, PC
220 Grandview Ave, Ste 200
Camp Hill, PA 17011

Phone

(717) 761-8688

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Retina Specialists PCGroup PAC ID 6002891488, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwedel@paretina.intellechartdirect.net

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.

• Pennsylvania Retina Specialists PC

  • Ophthalmology Physician
  • Camp Hill, PA
  • NPI 1568428126
  Medicare reassignment Care Compare group NPD

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

• Penn State Health Holy Spirit Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Hill, PA
  • NPI 1659566008

  Hospital

  Care Compare affiliation
• Penn State Health Holy Spirit Medical Center

  • General Acute Care Hospital
  • Camp Hill, PA
  • NPI 1881690212
  Care Compare affiliation

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1649434796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PENNSYLVANIA RETINA SPECIALISTS, PC",
            "address_2": "220 GRANDVIEW AVE, STE 200",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "17011",
            "telephone_number": "717-761-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENNSYLVANIA RETINA SPECIALISTS, PC",
            "address_2": "220 GRANDVIEW AVE, STE 200",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "17011",
            "telephone_number": "717-761-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Green Tech Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032302",
            "country_code": "US",
            "telephone_number": "814-238-8232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 Cocoa Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170333700",
            "country_code": "US",
            "telephone_number": "717-533-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2170 Noll Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176037609",
            "country_code": "US",
            "telephone_number": "717-205-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 6th Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032627",
            "country_code": "US",
            "telephone_number": "717-846-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDEL",
        "first_name": "MARISSA",
        "middle_name": "LINDSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101244113",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "250672",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101244113",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD474785",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD474785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwedel@paretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "220 Grandview Ave Ste 200",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170111776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allyson Waugh
• Amy Waugh, LSW
• Ashley Nicole Waxter
• Sarah Ashleigh Weaver, DMD
• Lauren Weber, MSN, RN
• Susan L Weezorak, MPT, ATC
• Jocelyn Duggan Wehner, CRNP
• David Weidman, PTA
• Weis Markets Inc
• Karen Evelyn Weitzner, PH.D.

• Ophthalmology Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.