CELINE MIYAZONO NEWTON – Physician Assistant, NPI 1730733239

CELINE MIYAZONO NEWTON is a healthcare provider. based in Odessa, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for CELINE MIYAZONO NEWTON is 1730733239

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CELINE MIYAZONO NEWTON
NPI
1730733239
Phone
Not provided
Address
1209 OLD COURSE RD
Enumeration Date
1 August 2019
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722883471
Graduation Year
2020 (6 years ago)
PAC ID
0446655575
Group Practice PAC ID
6608922323
Professional Enrollment ID
I20210826003099
Address ID
TX751491792ME1611XRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for CELINE MIYAZONO NEWTON

  • 1209, Old Course Road, Old Course Estates, Odessa, Ector County, Texas, 79765, United States

    ODESSA, TX 797658703

    Phone:

    Type: Mailing

  • Midland College, 3600, North Garfield Street, Wadley Heights, Midland, Midland County, Texas, 79705, United States

    MIDLAND, TX 797056329

    Phone: (432) 335-2222

    Type: Location

  • 1611 N BELT LINE RD STE C

    MESQUITE, TX 751491792

    Phone:

    Type: Mailing

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$21
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: 2021-08-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210826003099IPhysician AssistantTXTBD

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 79765)

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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: 6608922323View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find CELINE MIYAZONO NEWTON's NPI?
You can confirm CELINE MIYAZONO NEWTON with NPI 1730733239; it appears in the national provider directory.
Is CELINE MIYAZONO NEWTON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CELINE MIYAZONO NEWTON work in?
You can think of CELINE MIYAZONO NEWTON as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place CELINE MIYAZONO NEWTON?
The snapshot lists Odessa, Texas for CELINE MIYAZONO NEWTON; download NPPES for the complete set.
Is CELINE MIYAZONO NEWTON a real provider?
This page reflects official NPPES data for NPI 1730733239. Always confirm identity and privileges with the practice and licensing boards.

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