AMANDA CATHERINE WILSON – Physician Assistant, NPI 1174041636
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for AMANDA CATHERINE WILSON
3161 N Rock Rd
Wichita, KS 672261452
Phone: (316) 440-2712
Type: Location
North 14th Street, WaKeeney, Trego County, Kansas, 67672, United States
WAKEENEY, KS 676723000
Phone: (785) 743-2124
Type: Location
333 N 14th St
Wakeeney, KS 676723000
Phone: (785) 743-2124
Type: Location
320 N 13th St
Wakeeney, KS 676722002
Phone: (785) 743-2182
Type: Location
2101 N WALDRON ST
HUTCHINSON, KS 675021197
Phone: (620) 669-2500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$125
General + Research + Ownership
Payments
7
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| Sumitomo Pharma America, Inc. | $34 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $34 |
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: 2017-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171122000397 | I | Physician Assistant | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 65 | 63 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 33 | 29 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 33 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 12 | 12 | $0 |
Insurance plans in this area (ZIP 67226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| - | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| - | KS | |
| - | KS | |
| N E U R O S U R G E R Y | KS | |
| - | OK | |
| - | KS | |
| - | KS | |
| Nurse Practitioner | KS |
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