Active NPI
Melissa Grace Wasielewski, PA-C
- Physician Assistant
- Scranton, PA
National Provider Identifier
1821694464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062163
- Practice address
- 449 Scranton Carbondale Hwy
Scranton, PA 18508-1115 - Phone
- (570) 344-6000
- Fax
- (570) 344-6002
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA062163 | PA | Primary |
Addresses
Primary practice location
449 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Mailing address
449 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone (570) 344-6000
Other practice location 1
1130 Hwy 315
Wilkes Barre, PA 18702-6952
Phone (570) 822-3300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062163 | PA | MD | Physician Assistant |
Interoperability endpoints
- melissa.wasielewski.1@19481.direct.athenahealth.com
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 and National Provider Directory roles.
-
dba Express Urgent Care
- Multi-Specialty Clinic/Center
- Dickson City, PA
- NPI 1417402249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1821694464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 SCRANTON CARBONDALE HWY",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185081115",
"telephone_number": "570-344-6000",
"fax_number": "570-344-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 SCRANTON CARBONDALE HWY",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185081115",
"telephone_number": "570-344-6000",
"fax_number": "570-344-6002"
}
],
"practiceLocations": [
{
"address_1": "1130 Hwy 315",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "187026952",
"country_code": "US",
"telephone_number": "570-822-3300",
"fax_number": "570-822-3334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASIELEWSKI",
"first_name": "MELISSA",
"middle_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA062163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.