THERESA ANDERSON WITTENBERG (PA-C) – Physician Assistant, NPI 1932179777
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for THERESA ANDERSON WITTENBERG (PA-C)
Jefferson Healthcare Hospital, 834, Sheridan Street, Sea Breeze Mobile Home Park, Port Townsend, Jefferson County, Washington, 98368, United States
PORT TOWNSEND, WA 983682443
Phone: (360) 385-2200
Fax: (425) 259-8627
Type: Mailing
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
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: 2015-09-17
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 |
|---|---|---|---|---|
| I20040617000685 | I | Physician Assistant | WA | TBD |
| I20150917002845 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 60 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 98368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Hematology, Medical Oncology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Neuropsychiatry, Neurology | CA |
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