LYNDSEY S MAVES (PA-C) – Physician Assistant, NPI 1073597761
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for LYNDSEY S MAVES (PA-C)
Aurora Medical Center, 855, North Westhaven Drive, Oshkosh, Winnebago County, Wisconsin, 54904, United States
OSHKOSH, WI 549047668
Phone: (056) 691-1129
Type: Mailing
PO BOX 19070
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
1726 SHAWANO AVE
GREEN BAY, WI 543033216
Phone: (920) 496-4700
Type: Location
2105 E ENTERPRISE AVE
APPLETON, WI 549137862
Phone: (920) 560-1000
Fax: (920) 731-6732
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: 2018-11-13
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 |
|---|---|---|---|---|
| I20181113001932 | I | Physician Assistant | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI | |
| Certified Clinical Nurse Specialist (Cns) | WI | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Physician Assistant | WI | |
| Orthopedic Surgery, Hand Surgery | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI |
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