MR. MICHAEL DARREN WENDT (PA) – Physician Assistant, NPI 1609173236

MR. MICHAEL DARREN WENDT (PA) is a healthcare provider. based in Orange park, Florida. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA9112985 (FL). The NPI Number for MR. MICHAEL DARREN WENDT (PA) is 1609173236

Main info

Male
Sole Proprietor
Name
MR. MICHAEL DARREN WENDT (PA)
NPI
1609173236
Phone
(701) 200-8964
Address
2270 CLUB LAKE DR
Enumeration Date
17 February 2011
Last Update Date
27 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MR. MICHAEL DARREN WENDT (PA)

  • 2270 CLUB LAKE DR

    ORANGE PARK, FL 320652645

    Phone: (701) 200-8964

    Type: Mailing

  • 9857 OLD SAINT AUGUSTINE RD

    JACKSONVILLE, FL 322578853

    Phone: (904) 861-1900

    Type: Location

  • PO BOX 878

    DAVENPORT, FL 338360878

    Phone: (689) 698-3720

    Fax: (689) 698-3720

    Type: Mailing

  • 6545 NORMANDY BLVD

    JACKSONVILLE, FL 322056201

    Phone: (904) 861-1901

    Fax: (904) 292-9265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $559.

Total Amount is formed as General ($559) + Research ($0) + Ownership ($0) = $559.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Medtronic, Inc. ($255).

Total Amount

$559

General + Research + Ownership

Payments

5

Total payment records

General Amount

$559

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-06-06

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
I20220606001703IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5228$0
View full utilization report →

Insurance plans in this area (ZIP 32065)

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Reviews

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Frequently asked questions

Is MR. MICHAEL DARREN WENDT (PA) listed with a National Provider Identifier?
Yes — MR. MICHAEL DARREN WENDT (PA) has NPI 1609173236 on file in the registry.
Is MR. MICHAEL DARREN WENDT (PA) shown as active in public data?
Registry records indicate MR. MICHAEL DARREN WENDT (PA) maintains an active NPI.
What clinical focus is listed for MR. MICHAEL DARREN WENDT (PA)?
At a glance, MR. MICHAEL DARREN WENDT (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MR. MICHAEL DARREN WENDT (PA) registered?
Use Orange Park, Florida as the headline location for MR. MICHAEL DARREN WENDT (PA) here.
Does MR. MICHAEL DARREN WENDT (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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