Marlene Margaret Wise, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051484 Issued in PA

Practice address

20826 Route 19
Cranberry Township, PA 16066-6019

Phone

(724) 776-4776

Fax

(724) 776-0251

NPI assigned

Sep 21, 2006

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mwise6416@direct.ahn.org

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.

• Advanced Pain Medicine PC

  • Pain Medicine Physician
  • Wexford, PA
  • NPI 1093733933
  Medicare reassignment
• Advanced Pain Medicine PC

  dba Advanced Pain Medicine Moon

  • Specialist
  • Moon TWP, PA
  • NPI 1619233079
  NPD (past)
• Timothy J. Lilly, D.O. & Assoc

  • Internal Medicine Physician
  • Grove City, PA
  • NPI 1932316536
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1952400459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20826 ROUTE 19",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666019",
            "telephone_number": "724-776-4776",
            "fax_number": "724-776-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20826 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666019",
            "telephone_number": "724-776-4776",
            "fax_number": "724-776-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARLENE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwise6416@direct.ahn.org",
            "affiliation": "N",
            "address_1": "20826 Route 19",
            "city": "Cranberry Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160666019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen J Wilhelm, D.C.
• Kasandra Williams, MSN, FNP-C
• Renea Frances Wilson, RPH
• Nathan Winek, MD
• Kelsey Marie Wirth, PHARM.D.
• Sarah Brighthaupt Wittman, MD
• Stephen Thomas Wize, LCSW
• Jean Wood, MA,CCC-SLP
• Julia Woods, PA-C
• Susan Marie Woods, LCSW

• Medical Physician Assistant in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.