JULIE M WONDOLOWSKI (PA-C) – Medical Physician Assistant, NPI 1205857000
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for JULIE M WONDOLOWSKI (PA-C)
2150, Main Street, Metro Center, North End, Springfield, Hampden County, Massachusetts, 01107, United States
SPRINGFIELD, MA 01104
Phone: (413) 739-5676
Fax: (413) 739-2278
Type: Mailing
701, Enfield Street, North Thompsonville, Thompsonville, Enfield, Hartford County, Connecticut, 06082, United States
ENFIELD, CT 060822961
Phone: (860) 741-6058
Fax: (860) 741-6864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $731.
Total Amount is formed as General ($731) + Research ($0) + Ownership ($0) = $731.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: PFIZER INC. ($130).
Total Amount
$731
General + Research + Ownership
Payments
38
Total payment records
General Amount
$731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-17
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 |
|---|---|---|---|---|
| I20040817000136 | I | Physician Assistant | CT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA |
Reviews
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