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MARK WYMA PA-C
NPI 1336612852
Physician Assistant - Surgical in Phoenix, AZ

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 800, PHOENIX, AZ 85013(602) 406-1234(602) 406-6368 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Apr 6, 2022, Jan 8, 2019 (3 updates tracked since 2019).

About Mark Wyma Pa-c NPPES

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

MARK WYMA PA-C (NPI 1336612852) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (7333) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336612852
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK WYMACredential: PA-C
Location Address500 W THOMAS RD STE 800Phoenix, AZ 85013-4217
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-1234
Fax(602) 406-6368
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 8, 2019
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1336612852 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 AZ · 7333
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7333 (AZ)
500 W THOMAS RD STE 800, Phoenix, AZ 85013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Mark Wyma Pa-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 ID8325388846
PECOS Enrollment IDI20190320001687
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.

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.

NICHOLAS CAVARETTA PA-C
Physician Assistant (Surgical)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
MS. JILLIAN C JONES AGACNP-BC
Nurse Practitioner (Adult Health)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
JASON APFEL PA-C
Physician Assistant (Surgical)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
DR. SCOTT MICHAEL EASLEY M.D.
Family Medicine (Sports Medicine)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
ANDREW LOREN BLOUNT MD
Surgery
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
COLBY VAN HALE PA-C
Physician Assistant (Surgical)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
MARY STYREN
Physician Assistant
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234
SARA SHIN MD
Orthopaedic Surgery (Orthopaedic Trauma)
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Maricopa County (602) 406-1234

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 Mark Wyma's NPI number?

The NPI number for Mark Wyma is 1336612852. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Mark Wyma located?

Mark Wyma practices at 500 W Thomas Rd Ste 800, Phoenix, AZ 85013. The listed phone number is (602) 406-1234.

What is Mark Wyma's specialty?

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

Is Mark Wyma enrolled in Medicare?

Yes. Mark Wyma 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 Mark Wyma accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mark Wyma 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.

When was this NPI record last updated?

The NPPES record for Mark Wyma was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.