MISS ALYSSON MARIE OBERWANOWICZ (PA-C) – Physician Assistant, NPI 1366879660

MISS ALYSSON MARIE OBERWANOWICZ (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MISS ALYSSON MARIE OBERWANOWICZ (PA-C) is 1366879660

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MISS ALYSSON MARIE OBERWANOWICZ (PA-C)
NPI
1366879660
Phone
Not provided
Address
4755 OGLETOWN STANTON RD
Enumeration Date
1 October 2013
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
3173839685
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20150828001725
Address ID
PA180151652BE306XXSTRE400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:12State licenses:0Digital endpointsOther names

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for MISS ALYSSON MARIE OBERWANOWICZ (PA-C)

  • 4755 OGLETOWN STANTON RD

    NEWARK, DE 197182200

    Phone:

    Type: Mailing

  • 1736 HAMILTON ST

    ALLENTOWN, PA 181045656

    Phone: (570) 501-6368

    Type: Mailing

  • 1581 N 9TH ST

    STROUDSBURG, PA 183607531

    Phone: (484) 526-7474

    Type: Location

  • 834 EASTON AVE

    1ST FLOOR

    BETHLEHEM, PA 180181832

    Phone: (570) 501-6368

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($377).

Total Amount

$377

General + Research + Ownership

Payments

4

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$377
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: 2015-08-28

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
I20150828001725IPhysician AssistantPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3030$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$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: 6709798333View full group profile

Reviews

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Frequently asked questions

How do I look up MISS ALYSSON MARIE OBERWANOWICZ (PA-C) by NPI?
Use NPI 1366879660 when you need to reference MISS ALYSSON MARIE OBERWANOWICZ (PA-C) in forms, claims, or directories.
Is MISS ALYSSON MARIE OBERWANOWICZ (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MISS ALYSSON MARIE OBERWANOWICZ (PA-C) treat or focus on?
Patients typically see MISS ALYSSON MARIE OBERWANOWICZ (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MISS ALYSSON MARIE OBERWANOWICZ (PA-C)'s primary listing?
We display Newark, Delaware because that is what the record indicates for MISS ALYSSON MARIE OBERWANOWICZ (PA-C).
What if Newark, Delaware seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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