WESLEY NATHAN WORMINGTON (PA-C) – Physician Assistant, NPI 1083006753
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for WESLEY NATHAN WORMINGTON (PA-C)
777 RAYMOND AVE
SAINT PAUL, MN 551141522
Phone: (651) 447-3755
Fax: (651) 444-8923
Type: Location
3850 S NATIONAL AVE STE 705
SPRINGFIELD, MO 658075239
Phone: (417) 888-0858
Fax: (417) 889-0476
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2023-03-14
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 |
|---|---|---|---|---|
| I20230314002728 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 47 | 15 | $0 |
Insurance plans in this area (ZIP 55114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 113 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | FL | |
| Family Practice | MN | |
| Internal Medicine | NC | |
| Physician Assistant | NY | |
| Addiction Medicine, Family Practice | MN | |
| Addiction Medicine, Family Practice | MN |
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