Individual provider Active NPI

Ana Wegman, PA-C

  • Physician Assistant
  • Columbia, PA
National Provider Identifier
1881584639
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066782 Issued in PA
Practice address
3985 Columbia Ave
Columbia, PA 17512-9003
Phone
(717) 285-3144
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 MA066782 PA Primary

Addresses

Primary practice location

3985 Columbia Ave
Columbia, PA 17512-9003

Mailing address

3 Boardwalk
Sinking Spring, PA 19608-9682
Phone (484) 650-1893

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
I20250812000285 PA Practitioner - Physician Assistant 7315445145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

2221 Noll Dr
Suite 2000
Lancaster, PA 17603-7614
Phone (717) 715-1001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066782PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

3985 Columbia Ave
Columbia, PA 17512
Phone (717) 285-3144

3985 Columbia Ave
Ste 8
Columbia, PA 17512
Phone (717) 285-3144

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1881584639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOARDWALK",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089682",
            "telephone_number": "484-650-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 COLUMBIA AVE",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129003",
            "telephone_number": "717-285-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMAN",
        "first_name": "ANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.