AMANDA WOJEWODKA CANAVAN (PA-C) – Physician Assistant, NPI 1154307759

AMANDA WOJEWODKA CANAVAN (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C5-0001255 (DE). The NPI Number for AMANDA WOJEWODKA CANAVAN (PA-C) is 1154307759

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WOJEWODKA CANAVAN (PA-C)
NPI
1154307759
Phone
(302) 733-2438
Address
4755 OGLETOWN STANTON RD STE 2670
Enumeration Date
16 December 2005
Last Update Date
23 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3029980300
Graduation Year
2005 (21 years ago)
PAC ID
6406877968
Group Practice PAC ID
2264613504
Professional Enrollment ID
I20181121002422
Address ID
DE198032764WI1401XRDXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for AMANDA WOJEWODKA CANAVAN (PA-C)

  • 4755 OGLETOWN STANTON RD STE 2670

    NEWARK, DE 197182200

    Phone: (302) 733-2438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $511.

Total Amount is formed as General ($511) + Research ($0) + Ownership ($0) = $511.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($295).

Total Amount

$511

General + Research + Ownership

Payments

26

Total payment records

General Amount

$511

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-11-21

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
I20181121002422IPhysician AssistantDETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes516437$0
95004Test for allergy using allergenic extract44312$0
95024Test for allergy using allergenic extract injected into skin37212$0
99214Established patient office or other outpatient visit, 30-39 minutes249222$0
69210Removal of impacted ear wax184148$0
View full utilization report →

Insurance plans in this area (ZIP 19718)

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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: 2264613504View full group profile
NameSpecialtyState
Qualified AudiologistPA
Qualified AudiologistMD
A L L E R G Y/ I M M U N O L O G YDE
A L L E R G Y/ I M M U N O L O G YDE
O T O L A R Y N G O L O G YDE
Qualified AudiologistDE
-DE
Qualified AudiologistDE
-DE
A L L E R G Y/ I M M U N O L O G YDE

Reviews

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Frequently asked questions

How do payers reference AMANDA WOJEWODKA CANAVAN (PA-C)?
For AMANDA WOJEWODKA CANAVAN (PA-C), use NPI 1154307759 as the unique 10-digit identifier.
Is there an active status for AMANDA WOJEWODKA CANAVAN (PA-C)?
For scheduling context, AMANDA WOJEWODKA CANAVAN (PA-C) is shown as active in the registry.
How would a patient describe AMANDA WOJEWODKA CANAVAN (PA-C)'s focus?
For AMANDA WOJEWODKA CANAVAN (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is AMANDA WOJEWODKA CANAVAN (PA-C) associated with Newark?
Public fields place AMANDA WOJEWODKA CANAVAN (PA-C) around Newark, Delaware. Always confirm the exact site before visiting.
Does AMANDA WOJEWODKA CANAVAN (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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