Marielle Rebecca Wiede, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023336 Issued in NY

Practice address

2350 Maple Rd Ste 100
Amherst, NY 14221-4080

Phone

(716) 688-6500

NPI assigned

Feb 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erie County Medical Center CorporationGroup PAC ID 1456308907, 316 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Erie County Medical Center Corporation

  • Clinic/Center
  • Buffalo, NY
  • NPI 1528233616
  Medicare reassignment Care Compare group NPD
• Buffalo Breathe Now Medical PC

  • Pulmonary Disease Physician
  • East Amherst, NY
  • NPI 1285464479
  Medicare reassignment
• Frank R. Laurri, M.D. & Associates, P.C.

  • Internal Medicine Physician
  • Niagara Falls, NY
  • NPI 1548305519
  Medicare reassignment
• Erie County Medical Center Corporation

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1922768621
  NPD
• Frank R. Laurri, M.D. & Associates, P.C.

  • Registered Nurse
  • Niagara Falls, NY
  • NPI 1902563646
  NPD
• Erie County Medical Center Corporation

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1437197985
  NPD (past)

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

• Erie County Medical Center Corporation

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1437197985
  Care Compare affiliation

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1811454960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E BECKER RD",
            "city": "COLLINS",
            "state": "NY",
            "postal_code": "140349761",
            "telephone_number": "716-560-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MAPLE RD STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142214080",
            "telephone_number": "716-688-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDE",
        "first_name": "MARIELLE",
        "middle_name": "REBECCA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marielle.wiede.1@19947.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Latus Primary Care Medicine, PLLC DBA Latus Medical Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Maple Rd Ste 100",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142214080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Marie Whitenight, DPT
• Jessica A Wiatrowski, PT
• Marjorie Wichert
• Andrew Wichtowski, PA
• April Elizabeth Wieczorek, PA-C
• Jennifer Katrina Wilczewski, LMSW
• Michael John Wild, MS, ATC, PES
• Shannon Wilk
• Ryan Wilkins, M.D.
• Willcare

• Physician Assistant in Amherst, NY
• Providers in Amherst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.