Individual provider Active NPI

Nina Therese Wilhelm, PA-C

  • Physician Assistant
  • Center Valley, PA
National Provider Identifier
1851026686
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065262 Issued in PA
Practice address
5425 Lanark Rd Ste 101
Center Valley, PA 18034-8697
Phone
(484) 658-5437
Fax
(833) 820-1010
NPI assigned
Jul 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X MA065262 PA Primary

Addresses

Primary practice location

5425 Lanark Rd Ste 101
Center Valley, PA 18034-8697

Mailing address

5425 Lanark Rd Ste 101
Center Valley, PA 18034-8697
Phone (848) 658-5437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214001437 PA Practitioner - Physician Assistant 4688018054 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065262PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Mar 18, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 25, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 18, 2024 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

5425 Lanark Rd
Ste 300
Center Valley, PA 18034
Phone (484) 523-7300

5425 Lanark Rd
Ste 101
Center Valley, PA 18034
Phone (484) 822-6112

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1851026686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 101",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "848-658-5437",
            "fax_number": "833-820-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 101",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437",
            "fax_number": "833-820-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "NINA",
        "middle_name": "THERESE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.