EDWARD RESENDEZ (PA) – Physician Assistant, NPI 1255904983

EDWARD RESENDEZ (PA) is a healthcare provider. based in Decatur, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10003291A (IN). The NPI Number for EDWARD RESENDEZ (PA) is 1255904983

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD RESENDEZ (PA)
NPI
1255904983
Phone
(260) 724-2145
Address
PO BOX 151
Enumeration Date
21 July 2021
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2607242145
Graduation Year
2020 (6 years ago)
PAC ID
9830581560
Group Practice PAC ID
0941198253
Professional Enrollment ID
I20220110000576
Address ID
IN467333139DE1401XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for EDWARD RESENDEZ (PA)

  • PO BOX 151

    DECATUR, IN 467330151

    Phone: (260) 724-2145

    Type: Mailing

  • 1100 MERCER AVE

    DECATUR, IN 467332303

    Phone: (260) 724-2145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $952.

Total Amount is formed as General ($952) + Research ($0) + Ownership ($0) = $952.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$952

General + Research + Ownership

Payments

56

Total payment records

General Amount

$952

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

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: 2022-01-10

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
I20220110000576IPhysician AssistantINTBD

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 minutes6054$0
99213Established patient office or other outpatient visit, 20-29 minutes3533$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 46733)

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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: 0941198253View full group profile
NameSpecialtyState
-IN
-IN
Mental Health CounselorIN
Emergency MedicineNE
Family PracticeIN
Mental Health CounselorIN
Clinical Social WorkerIN
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YOH
Family PracticeIN

Reviews

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Frequently asked questions

Does EDWARD RESENDEZ (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDWARD RESENDEZ (PA) uses 1255904983.
Can I rely on EDWARD RESENDEZ (PA) being an active provider?
As of the registry snapshot, EDWARD RESENDEZ (PA) is marked active.
What is EDWARD RESENDEZ (PA)'s primary classification?
Physician Assistant is the headline specialty for EDWARD RESENDEZ (PA) here. Clinical services aligned with this taxonomy classification.
What area does EDWARD RESENDEZ (PA) serve?
EDWARD RESENDEZ (PA)'s listing highlights Decatur, Indiana; more addresses can appear in NPPES.
Why does EDWARD RESENDEZ (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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