Individual provider Active NPI

Wenyu Wu, PA-C

  • Physician Assistant
  • Pittsfield, MA
National Provider Identifier
1780271171
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8743 Issued in MA
Practice address
510 North St Ste 10
Pittsfield, MA 01201-4127
Phone
(413) 448-8291
Fax
(413) 447-9040
NPI assigned
Dec 31, 2020
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 PA8743 MA Primary

Addresses

Primary practice location

510 North St Ste 10
Pittsfield, MA 01201-4127

Mailing address

510 North St Ste 10
Pittsfield, MA 01201-4127
Phone (413) 448-8291

Other practice location 1

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220725002843 MA Practitioner - Physician Assistant 5698156420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 395-7694

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA8743MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jul 11, 2022 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

510 North St
Ste 10
Pittsfield, MA 01201
Phone (413) 448-8291

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

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

Hospital & facility affiliations 3

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1780271171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 10",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014127",
            "telephone_number": "413-448-8291",
            "fax_number": "413-447-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 10",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014127",
            "telephone_number": "413-448-8291",
            "fax_number": "413-447-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "North Adams",
            "state": "MA",
            "postal_code": "012472504",
            "country_code": "US",
            "telephone_number": "413-664-5484",
            "fax_number": "413-447-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "WENYU",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.