Bryce Wackerle

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4000 Wellness Dr
Midland, MI 48670-2000

Phone

(989) 839-3000

NPI assigned

Jan 31, 2024

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Female

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 MI

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbiskupski164151@direct.covenanthealthcare.com
• Direct secure messaging: bryce.biskupski.1@15125.direct.athenahealth.com
• Direct secure messaging: bryce.biskupski.1@15223.direct.athenahealth.com
• Direct secure messaging: bryce.biskupski.1@17511.direct.athenahealth.com
• Direct secure messaging: bryce.biskupski.1@20296.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4

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.

• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment Care Compare group NPD
• Gladwin Family Care PLLC

  • Multi-Specialty Clinic/Center
  • Gladwin, MI
  • NPI 1932788577
  Medicare reassignment NPD
• Caro Health Plaza PLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1659326395
  Medicare reassignment
• St. Charles Family Clinic PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1669837993
  Medicare reassignment
• Caro Health Plaza PLC

  • Rural Health Clinic/Center
  • Caro, MI
  • NPI 1689022469
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD
• Columbiaville Family Clinic PLLC

  dba Jehad Jafari Clinic

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1457716102
  NPD (past)

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

• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba Family Practice Center

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1922861335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKERLE",
        "first_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Warren Vollhaber, MD
• Nathan Graham Vonfintel I
• Riley Ann Voss
• Michelle Vouaux
• Jodi Wachowiak
• Erica Ann Waddle, D.O.
• Della Wade, MSW
• Kenton Wadsworth, DACM, LAC
• Andrew Standish Wagner, MD
• Autum T Wainwright

• Physician Assistant in Midland, MI
• Providers in Midland, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.
• 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.