WENDY MARIKO AWA (APRN) – Adult Health Nurse Practitioner, NPI 1770090789

WENDY MARIKO AWA (APRN) is a healthcare provider. based in Bridgeport, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 106481 (CT). The NPI Number for WENDY MARIKO AWA (APRN) is 1770090789

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
WENDY MARIKO AWA (APRN)
NPI
1770090789
Phone
(203) 384-3000
Address
267 Grant St
Enumeration Date
29 December 2017
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035766000
Graduation Year
2017 (9 years ago)
PAC ID
9234490368
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20180306000170
Address ID
CT066064201BR2800XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for WENDY MARIKO AWA (APRN)

  • 267 Grant St

    Bridgeport, CT 066102805

    Phone: (203) 384-3000

    Type: Location

  • Bridgeport Hospital, 267, Grant Street, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States

    BRIDGEPORT, CT 066102805

    Phone: (203) 384-3000

    Type: Mailing

  • 1290 SILAS DEANE HWY

    WETHERSFIELD, CT 061094337

    Phone: (475) 210-6177

    Type: Mailing

  • 2800 MAIN ST

    BRIDGEPORT, CT 066064201

    Phone: (475) 210-6177

    Fax: (475) 210-6146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $3,233.

Total Amount is formed as General ($3,233) + Research ($0) + Ownership ($0) = $3,233.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($811).

Total Amount

$3,233

General + Research + Ownership

Payments

107

Total payment records

General Amount

$3,233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180306000170INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17257$0
99213Established patient office or other outpatient visit, 20-29 minutes8641$0
View full utilization report →

Insurance plans in this area (ZIP 06610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

What is the registry number for WENDY MARIKO AWA (APRN)?
The registry entry for WENDY MARIKO AWA (APRN) shows NPI 1770090789.
Is WENDY MARIKO AWA (APRN)'s NPI status active today?
Active status means WENDY MARIKO AWA (APRN)'s NPI record is not deactivated in the public file.
How should patients interpret WENDY MARIKO AWA (APRN)'s specialty?
The extract shows Adult Health Nurse Practitioner for WENDY MARIKO AWA (APRN). Clinical services aligned with this taxonomy classification.
Is WENDY MARIKO AWA (APRN) tied to Bridgeport, Connecticut?
If you are local to Bridgeport, Connecticut, WENDY MARIKO AWA (APRN) may be relevant to your search.
Can I export WENDY MARIKO AWA (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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