AMY JILL WIEDER
NPI 1619680436
Counselor - Professional in Butler, PA
About Amy Jill Wieder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY JILL WIEDER (NPI 1619680436) is an individual professional provider in Butler, Pennsylvania, licensed in Pennsylvania (PC015176) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Jill Wieder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Wieder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BUTLER, PA 16001
BUTLER, PA 16001
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 Amy Wieder's NPI number?
The NPI number for Amy Wieder is 1619680436. It was assigned to this individual provider in the NPPES registry on December 27, 2022. The provider is also known as Amy Jill Squyres.
Where is Amy Wieder located?
Amy Wieder practices at 901 E Brady St, Butler, PA 16001. The listed phone number is (724) 282-1627.
What is Amy Wieder's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amy Wieder enrolled in Medicare?
Yes. Amy Wieder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Wieder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wieder reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wieder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Wieder was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Amy Jill Wieder · NPI 1619680436
Professional provider in Butler, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 27, 2022.
## Identity
- **NPI:** 1619680436 (Entity type: Individual)
- **Enumerated:** December 27, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC015176 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 E BRADY ST, Butler, PA 16001-4648
- **Phone:** (724) 282-1627
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619680436) · Data from the CMS NPPES public registry.