MICHAEL J WREN P.A.-C
NPI 1275689192
Physician Assistant - Surgical in Fresno, CA

Q: What is Michael Wren's NPI number?

The NPI number for Michael Wren is 1275689192. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Michael Wren's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Wren was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment

2823 FRESNO ST, FRESNO, CA 93721(559) 459-4268(559) 459-3553 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Michael J Wren P.a.-c NPPES

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

MICHAEL J WREN P.A.-C (NPI 1275689192) is an individual surgical provider in Fresno, California, licensed in California (PA17765) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1275689192

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL J WRENCredential: P.A.-C

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address4910 E Clinton Way, Suite 101Fresno, CA 93727-1560 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 459-4268

Fax(559) 459-3553

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 25, 2007

Last NPPES UpdateDecember 30, 2021

✔ NPI 1275689192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA17765

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17765 (CA)

2823 FRESNO ST, Fresno, CA 93721

Open in Google Maps ↗

Other Identifiers 1

OtherOPA177650CA · Blue Shield Of California

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

Michael J Wren P.a.-c 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 ID7810946399

PECOS Enrollment IDI20050121000827

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.

Leave this field empty

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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine