MS. ENITH MENDEZ-RUNGE (PA) – Medical Physician Assistant, NPI 1386617439
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MS. ENITH MENDEZ-RUNGE (PA)
PO BOX 391
WILBRAHAM, MA 010950391
Phone: (508) 595-0531
Fax: (508) 829-5367
Type: Mailing
Fairlawn Rehabilitation Hospital, 189, May Street, Beaver Brook, Worcester, Worcester County, Massachusetts, 01602, United States
WORCESTER, MA 01602
Phone: (508) 791-6351
Fax: (508) 753-2087
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-11-19
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 |
|---|---|---|---|---|
| I20041119000917 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 119 | 116 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 01095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | DC | |
| Family Practice | NY | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Internal Medicine | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Physician Assistant | MA |
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