DONNA C IDDINGS (PA-C) – Surgical Physician Assistant, NPI 1396742649

DONNA C IDDINGS (PA-C) is a healthcare provider. based in Providence, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA739 (MA). The NPI Number for DONNA C IDDINGS (PA-C) is 1396742649

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DONNA C IDDINGS (PA-C)
NPI
1396742649
Phone
(401) 444-7585
Address
593 Eddy St
Enumeration Date
1 July 2005
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182497860
Graduation Year
1994 (32 years ago)
PAC ID
4981782513
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20250926003004
Address ID
MN558052242DU1015XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for DONNA C IDDINGS (PA-C)

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-7585

    Fax: (401) 444-1766

    Type: Location

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • Hanover Street, Fall River, Bristol County, Massachusetts, 02720, United States

    SUITE 2A

    FALL RIVER, MA 02720

    Phone: (508) 679-7774

    Fax: (508) 679-7724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Medtronic, Inc. ($313).

Total Amount

$444

General + Research + Ownership

Payments

3

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080423000351IPhysician AssistantRITBD
I20250926003004IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33508Harvest of vein using an endoscope2626$0
33533Coronary artery bypass using artery graft, 1 graft2525$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1414$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

Can I verify DONNA C IDDINGS (PA-C) with an NPI only?
You can start verification with NPI 1396742649 for DONNA C IDDINGS (PA-C), then check state licensing separately.
Is DONNA C IDDINGS (PA-C) still practicing?
DONNA C IDDINGS (PA-C) is currently listed as active in the public NPI registry.
What is DONNA C IDDINGS (PA-C)'s primary classification?
Surgical Physician Assistant is the headline specialty for DONNA C IDDINGS (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect DONNA C IDDINGS (PA-C) on a map?
Expect Providence, Rhode Island as a primary anchor for DONNA C IDDINGS (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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