Terry Alan Wilver, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

030749

Practice address

61 Delano St
Pulaski, NY 13142-1400

Phone

(315) 298-6564

Fax

(315) 298-7831

NPI assigned

Dec 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.wilver@nochsi.directbygreenway.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.

• Northern Oswego County Health Services, Inc.

  dba ConnextCare

  • Community Health Clinic/Center
  • Pulaski, NY
  • NPI 1508850280
  Medicare reassignment NPD

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1871360081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131351906",
            "country_code": "US",
            "telephone_number": "315-695-4700",
            "fax_number": "315-695-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fravor Rd",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143011",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692951",
            "country_code": "US",
            "telephone_number": "315-598-4790",
            "fax_number": "315-593-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hinman Rd",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422200",
            "country_code": "US",
            "telephone_number": "315-298-2570",
            "fax_number": "315-298-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5213",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Sandy Creek",
            "state": "NY",
            "postal_code": "131457706",
            "country_code": "US",
            "telephone_number": "315-387-3620",
            "fax_number": "315-387-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Academy St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143010",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262111",
            "country_code": "US",
            "telephone_number": "315-342-0880",
            "fax_number": "315-593-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5210",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5856 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143012",
            "country_code": "US",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Salina St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422102",
            "country_code": "US",
            "telephone_number": "315-298-2696",
            "fax_number": "315-298-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave Ste G400",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-675-9200",
            "fax_number": "315-630-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILVER",
        "first_name": "TERRY",
        "middle_name": "ALAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "030749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Waterman-Albrecht, MHC
• Betsy B Waterman, PHD
• Susan E Waterman, RPH
• Emily A Wells, PMHNP
• Anthony David Westmiller, PA
• Tina Marie Wright
• Mary Ellen Xavier Flanagan, NP
• Cheryl Youker, N.P.
• Tori Antoinette Zerrahn, BS, MSED

• Medical Physician Assistant in Pulaski, NY
• Providers in Pulaski, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.

Verify at the official NPI Registry.