MINDY OBERLEY (PA-C) – Surgical Physician Assistant, NPI 1013578467
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MINDY OBERLEY (PA-C)
2111 E IVANHOE PL APT 617
MILWAUKEE, WI 532021280
Phone: (262) 501-2006
Type: Mailing
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
WAUKESHA, WI 531885031
Phone: (262) 928-2000
Type: Location
500 Dr Martin Luther King Jr St N Ste 303
St Petersburg, FL 337051470
Phone: (727) 825-1284
Type: Location
930 CENTRAL AVE UNIT 501
ST PETERSBURG, FL 337051671
Phone: (262) 501-2006
Type: Mailing
500 DR MARTIN LUTHER KING JR ST N STE 303
ST PETERSBURG, FL 337051470
Phone: (727) 825-1284
Type: Location
2010 59TH ST W STE 2200
BRADENTON, FL 342094689
Phone: (941) 794-5621
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: 2021-09-08
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 |
|---|---|---|---|---|
| I20210908002155 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 103 | 103 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 31 | 31 | $0 |
Insurance plans in this area (ZIP 53202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| General Surgery | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | TN | |
| Physician Assistant | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| Physician Assistant | FL | |
| General Surgery | FL |
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