ABAGAIL FRANCES WITTMAN – Nurse Practitioner, NPI 1104509942

ABAGAIL FRANCES WITTMAN is a healthcare provider. based in Saint marys, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP027991 (PA). The NPI Number for ABAGAIL FRANCES WITTMAN is 1104509942

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ABAGAIL FRANCES WITTMAN
NPI
1104509942
Phone
(814) 788-8000
Address
763 JOHNSONBURG RD
Enumeration Date
9 August 2023
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8147888595
Graduation Year
2023 (3 years ago)
PAC ID
4183166259
Group Practice PAC ID
7517870512
Professional Enrollment ID
I20240604002678
Address ID
PA158573417SA763XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,556 NURSE PRACTITIONER in PA

Provider Addresses for ABAGAIL FRANCES WITTMAN

  • 763 JOHNSONBURG RD

    SAINT MARYS, PA 158573417

    Phone: (814) 788-8000

    Type: Location

  • 121 Penn Road

    Saint Marys, PA 15857

    Phone: (814) 594-6029

    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: 2024-06-04

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
I20240604002678INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15857)

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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: 7517870512View full group profile
NameSpecialtyState
Emergency MedicinePA
A N E S T H E S I O L O G YCA
Nurse PractitionerPA
Cardiovascular Disease (Cardiology), Internal MedicinePA
A N E S T H E S I O L O G YPA
Emergency MedicineGA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Emergency MedicinePA
Emergency MedicineMD

Reviews

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Frequently asked questions

Can I verify ABAGAIL FRANCES WITTMAN with an NPI only?
You can start verification with NPI 1104509942 for ABAGAIL FRANCES WITTMAN, then check state licensing separately.
Is ABAGAIL FRANCES WITTMAN listed as active for patients and plans?
The listing shows ABAGAIL FRANCES WITTMAN as active in the NPI system.
What healthcare role does ABAGAIL FRANCES WITTMAN hold?
Scheduling teams often label ABAGAIL FRANCES WITTMAN under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect ABAGAIL FRANCES WITTMAN on a map?
Expect Saint Marys, Pennsylvania as a primary anchor for ABAGAIL FRANCES WITTMAN unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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