VAUGHAN A WENZEL (PA-C) – Physician Assistant, NPI 1053367979
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
Provider Addresses for VAUGHAN A WENZEL (PA-C)
1111 SO 84TH ST, MIDLAND'S COMMUNITY HOSPITAL
EMERGENCY DEPT (CARE OF DR RON SARNO, MD)
PAPILLION, NE 68046
Phone: (402) 593-3550
Type: Location
903, Michael Drive, Papillion, Sarpy County, Nebraska, 68046, United States
PAPILLION, NE 68046
Phone: (402) 331-5747
Type: Mailing
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: 2016-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041108000336 | I | Physician Assistant | NE | TBD |
| I20160503000741 | I | Physician Assistant | IA | 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 68046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Physician Assistant | NE |
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