EMILY HATTEM
NPI 1629958574
Physician Assistant - Medical in Wilkes Barre, PA

Active since September 03, 2025PECOS Enrolled
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 491-0126 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Sep 3, 2025 (2 updates tracked since 2025).

About Emily Hattem NPPES

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

EMILY HATTEM (NPI 1629958574) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA067133) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629958574
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY HATTEM
Location Address169 N PENNSYLVANIA AVEWilkes Barre, PA 18701-3603
Mailing Address15 Bayberry DrMahwah, NJ 07430-1502 · (201) 419-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1629958574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA067133
169 N PENNSYLVANIA AVE, Wilkes Barre, PA 18701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Hattem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325538085
PECOS Enrollment IDI20251111000119
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.

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Other Providers at the Same Location NPPES 18

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

Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Psychiatric/Mental Health)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Family)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Community Health Worker
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Internal Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Family Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pharmacist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701

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 Emily Hattem's NPI number?

The NPI number for Emily Hattem is 1629958574. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Emily Hattem located?

Emily Hattem practices at 169 N Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 491-0126.

What is Emily Hattem's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Emily Hattem enrolled in Medicare?

Yes. Emily Hattem is registered in the Medicare PECOS enrollment system.

Is Emily Hattem affiliated with any hospitals?

According to CMS data, Emily Hattem is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Emily Hattem was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.