AMANDA WREGGELSWORTH – Medical Physician Assistant, NPI 1053897850
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
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Provider Addresses for AMANDA WREGGELSWORTH
3613 SILVANA TERRACE RD
STANWOOD, WA 982929004
Phone:
Type: Mailing
Wilmington Avenue, Canby Park, Canby Park Estates, Wilmington, New Castle County, Delaware, 19805, United States
NEW CASTLE, PA 161052516
Phone: (724) 658-9001
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: 2020-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181023001075 | I | Physician Assistant | PA | TBD |
| I20200113002685 | I | Physician Assistant | MT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 190 | 183 | $0 |
Insurance plans in this area (ZIP 98292)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Diagnostic Radiology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| N E U R O L O G Y | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Hospitalist | NC | |
| Nurse Practitioner | PA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | PA | |
| Nurse Practitioner | PA |
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