MISS CAROLINE ELIZABETH KUDRICH (PA-C) – Physician Assistant, NPI 1861275919
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for MISS CAROLINE ELIZABETH KUDRICH (PA-C)
176 N Main St
Shavertown, PA 187081121
Phone: (570) 675-0900
Fax: (570) 674-8912
Type: Location
500 Scott St
Wilkes Barre, PA 187025616
Phone: (570) 824-1700
Type: Location
4 E MAIN ST
NANTICOKE, PA 186341602
Phone: (570) 258-3939
Fax: (570) 258-0165
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,230.
Total Amount is formed as General ($1,230) + Research ($0) + Ownership ($0) = $1,230.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Boston Scientific Corporation ($164).
Total Amount
$1,230
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $164 |
| ABBVIE INC. | $142 |
| GlaxoSmithKline, LLC. | $111 |
| Amgen Inc. | $92 |
| Lilly USA, LLC | $82 |
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: 2023-10-20
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 |
|---|---|---|---|---|
| I20231020000226 | 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 |
|---|---|---|
| Nurse Practitioner | PA | |
| General Surgery | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| N E U R O L O G Y | PA | |
| - | PA |
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