NPIMap

Individual provider Active NPI

Alicia M Wurm, PA-C

  • Physician Assistant
  • Saint Marys, PA
National Provider Identifier
1811325608
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056509 Issued in PA
Practice address
757 Johnsonburg Rd
Suite 110
Saint Marys, PA 15857-3488
Phone
(814) 834-2850
Fax
(814) 781-1580
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 MA056509 PA Primary

Addresses

Primary practice location

757 Johnsonburg Rd
Suite 110
Saint Marys, PA 15857-3488

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140220000978 PA Practitioner - Physician Assistant 0749410686 Reassigns benefits to 5 organizations
I20231226000576 NY Practitioner - Physician Assistant 0749410686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, shared by 39 NPIs, 424 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Du Bois, PA 15801-1465

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

761 Johnsonburg Rd
Saint Marys, PA 15857-3480

Hospital & facility affiliations

  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056509PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Mar 31, 2014 Accepting new patients
Elk Regional Health Center Physician Assistant CurrentSince Jan 5, 2023 Accepting new patients
Dubois Regional Medical Center Physician Assistant CurrentSince Dec 24, 2023 Accepting new patients
Elk Regional Health Center CurrentSince Jan 5, 2023 Accepting new patients
Elk Regional Health Center Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Mar 31, 2014 Accepting new patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 204
Dubois, PA 15801
Phone (814) 371-4360

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

757 Johnsonburg Rd
Ste 100
Saint Marys, PA 15857
Phone (814) 788-2343

757 Johnsonburg Rd
Ste 110
Saint Marys, PA 15857
Phone (814) 788-8580

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

765 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 781-3435

Interoperability endpoints

  • Direct secure messaging: amwurm@1285.direct.myezyaccess.com

Organizations & group practices 10

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1811325608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6560",
            "fax_number": "814-372-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 JOHNSONBURG RD",
            "address_2": "SUITE 110",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573488",
            "telephone_number": "814-834-2850",
            "fax_number": "814-781-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURM",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.