MRS. BRENDA JO WHARTON (PA-C) – Medical Physician Assistant, NPI 1093815144

MRS. BRENDA JO WHARTON (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004126 (MI). The NPI Number for MRS. BRENDA JO WHARTON (PA-C) is 1093815144

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRENDA JO WHARTON (PA-C)
NPI
1093815144
Phone
(616) 459-4171
Address
25 MICHIGAN ST NE
Enumeration Date
25 September 2006
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5767714820
Graduation Year
2003 (23 years ago)
PAC ID
6507852001
Group Practice PAC ID
1052223492
Professional Enrollment ID
I20040421000917
Address ID
MI480542915EA4150XRDXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,112 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MRS. BRENDA JO WHARTON (PA-C)

  • 25, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    SUITE 3300

    GRAND RAPIDS, MI 495032515

    Phone: (616) 459-4171

    Fax: (616) 459-0044

    Type: Mailing

  • 20952 E 12 MILE RD STE 200

    SAINT CLAIR SHORES, MI 480813203

    Phone: (586) 771-4820

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $4,255.

Total Amount is formed as General ($4,255) + Research ($0) + Ownership ($0) = $4,255.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,479).

Total Amount

$4,255

General + Research + Ownership

Payments

128

Total payment records

General Amount

$4,255

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

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: 2004-04-21

PECOS data refreshed: 2026-06-15

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
I20040421000917IPhysician AssistantMITBD

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 minutes9284$0
81000Manual urinalysis test with examination using microscope, non-automated5547$0
99213Established patient office or other outpatient visit, 20-29 minutes3230$0
51798Ultrasound measurement of bladder capacity after voiding2722$0
99442Telephone medical discussion with physician, 11-20 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 1052223492View full group profile
NameSpecialtyState
Nurse PractitionerMI
U R O L O G YMI
U R O L O G YOK
Radiation OncologyFL
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI

Reviews

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Frequently asked questions

How do payers reference MRS. BRENDA JO WHARTON (PA-C)?
For MRS. BRENDA JO WHARTON (PA-C), use NPI 1093815144 as the unique 10-digit identifier.
Is MRS. BRENDA JO WHARTON (PA-C) still an active registrant?
MRS. BRENDA JO WHARTON (PA-C) carries an active NPI according to the public dataset.
How would a patient describe MRS. BRENDA JO WHARTON (PA-C)'s focus?
For MRS. BRENDA JO WHARTON (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. BRENDA JO WHARTON (PA-C) registered?
Use Grand Rapids, Michigan as the headline location for MRS. BRENDA JO WHARTON (PA-C) here.
Can I trust this NPI listing for MRS. BRENDA JO WHARTON (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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