Jonathan Wolkwitz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

96-PA22 Issued in NM

Practice address

116 E. 2ND
Dexter, NM 88230

Phone

(575) 734-5817

Fax

(575) 734-6550

NPI assigned

Sep 30, 2005

Last updated

Sep 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roswell Hospital CorporationGroup PAC ID 1850204207, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Roswell, NM, CCN 327185
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.wolkwitz.1@1610.direct.athenahealth.com

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.

• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  Medicare reassignment Care Compare group NPD
• Roswell Hospital Corporation

  dba Valley Health Clinic of Eastern New Mexico

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474
  NPD

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

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation
• Wellcare, Inc.

  dba Enhabit Home Health

  • Home Health Agency
  • Roswell, NM
  • NPI 1639367998
  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1831186303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E. 2ND",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "88230",
            "telephone_number": "575-734-5817",
            "fax_number": "575-734-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKWITZ",
        "first_name": "JONATHAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "96-PA22",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "96-PA22",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79336213",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.wolkwitz.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "116 E. 2nd",
            "city": "Dexter",
            "state": "NM",
            "country_code": "US",
            "postal_code": "88230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naeemah Nicole Reese, P-LMSW
• Reins for Life Inc
• Roswell Hospital Corporation (Valley Health Clinic of Eastern New Mexico)
• Vicki Waltrip, RN
• Sharon White

• Physician Assistant in Dexter, NM
• Providers in Dexter, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.