PO EL WENRICK PA
NPI 1083107718
Physician Assistant - Surgical in Marietta, GA

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
61 WHITCHER ST NE STE 2100, MARIETTA, GA 30060(770) 423-0595(678) 391-5055 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Jul 6, 2022 (2 updates tracked since 2022).

About Po El Wenrick Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PO EL WENRICK PA (NPI 1083107718) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (8884) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1083107718
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NamePO EL WENRICKCredential: PA
Location Address61 WHITCHER ST NE STE 2100Marietta, GA 30060-1179
Mailing Address60 Chastain Center Blvd Nw Ste 66Kennesaw, GA 30144-5598 · (770) 423-0595 · Fax (678) 391-5055
Fax(678) 391-5055
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1083107718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 8884
61 WHITCHER ST NE STE 2100, Marietta, GA 30060

Other Names 1

Former Name (1)Po El Park Pa

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Po El Wenrick Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385997055
PECOS Enrollment IDI20181025002560
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
15 services14 patients
Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
14 services14 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Surgery (Vascular Surgery)
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Surgery (Vascular Surgery)
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Nurse Practitioner
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Physician Assistant
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Nurse Practitioner
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060
Surgery (Vascular Surgery)
61 WHITCHER ST NE STE 2100
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Po El Wenrick's NPI number?

The NPI number for Po El Wenrick is 1083107718. It was assigned to this individual provider in the NPPES registry on June 7, 2018. The provider is also known as PO El Park PA.

Where is Po El Wenrick located?

Po El Wenrick practices at 61 Whitcher St NE Ste 2100, Marietta, GA 30060. The listed phone number is (770) 423-0595.

What is Po El Wenrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Po El Wenrick enrolled in Medicare?

Yes. Po El Wenrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Po El Wenrick accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Po El Wenrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Po El Wenrick affiliated with any hospitals?

According to CMS data, Po El Wenrick is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Po El Wenrick was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.