AMY MARIE WIERBOWSKI (PA-C) – Physician Assistant, NPI 1245600709
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for AMY MARIE WIERBOWSKI (PA-C)
610 PARK AVE
SHAVERTOWN, PA 187089618
Phone: (570) 357-9679
Type: Mailing
1177 HIGHWAY 315 BLVD
DOLPHIN PLAZA
WILKES BARRE, PA 187026928
Phone: (570) 270-5713
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 255-1178
Fax: (570) 255-1156
Type: Mailing
114 LT MICHAEL CLEARY DR
DALLAS, PA 186121649
Phone: (570) 255-1178
Fax: (570) 255-1156
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Amgen Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $122 |
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: 2015-12-03
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 |
|---|---|---|---|---|
| I20151203003356 | I | Physician Assistant | PA | 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 18708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| H O S P I T A L I S T | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| A N E S T H E S I O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Orthopedic Surgery | PA |
Reviews
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