VAN VAN – Physician Assistant, NPI 1457081770
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for VAN VAN
9029 W WESTLAWN ST APT 3
WICHITA, KS 672125326
Phone:
Type: Mailing
1855 N WEBB RD
WICHITA, KS 672063413
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $2,701.
Total Amount is formed as General ($2,701) + Research ($0) + Ownership ($0) = $2,701.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($330).
Total Amount
$2,701
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $330 |
| Alkermes, Inc. | $269 |
| IDORSIA PHARMACEUTICALS US INC | $238 |
| Corium, LLC | $211 |
| ABBVIE INC. | $140 |
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: 2022-12-01
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 |
|---|---|---|---|---|
| I20221201000451 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 20 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 23 | 23 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 67212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | KS | |
| - | KS | |
| Mental Health Counselor | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Clinical Social Worker | KS | |
| Psychiatry, Neurology | KS | |
| Clinical Psychologist | KS | |
| Clinical Psychologist | AZ |
Reviews
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