Individual provider Active NPI

Meredith A Wessler, P.A.

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1851676670
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004168 Issued in IL
Practice address
544 W Pershing Rd
Suite a
Decatur, IL 62526
Phone
(217) 872-2400
Fax
(217) 875-4680
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 085004168 IL Primary

Addresses

Primary practice location

544 W Pershing Rd
Suite a
Decatur, IL 62526

Mailing address

544 W Pershing Rd Ste 200
Decatur, IL 62526-3226
Phone (217) 872-2400

Other names 1

  • Meredith A Hoefert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130820000458 IL Practitioner - Physician Assistant 5092957142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Clinics IncGroup PAC ID 7416351275, 4 clinicians

Practice addresses (Care Compare)

550 Southland Dr
Decatur, IL 62521-4080
Phone (217) 615-1144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085004168ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Oct 21, 2019 Accepting new patients
HSHS Medical Group Inc CurrentSince Oct 21, 2019 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Body Works Physical Therapy, Inc PastSince Sep 1, 2015 Accepting new patients

Locations

544 W Pershing Rd
Ste A
Decatur, IL 62526
Phone (217) 872-2400

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

544 W Pershing Rd
Ste 200
Decatur, IL 62526
Phone (217) 872-2400

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1851676670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD STE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263226",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSLER",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "HOEFERT",
            "middle_name": "A",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.