Holly A Wandell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053461 Issued in PA

Practice address

175 Lamoka Rd
Sayre, PA 18840-9429

Phone

(570) 964-8001

Fax

(570) 890-2818

NPI assigned

Aug 13, 2008

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

46.78 of 100Reported as apm

Quality

33.56

Promoting interoperability

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.69 of 100Reported as apm

Quality

85.57

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Sweet Family Practice

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  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1902052699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 ROUTE 154",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177247344",
            "telephone_number": "570-506-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LAMOKA RD",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409429",
            "telephone_number": "570-964-8001",
            "fax_number": "570-890-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 S Railroad St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "PA",
            "postal_code": "169471499",
            "country_code": "US",
            "telephone_number": "570-297-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANDELL",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Walmart Vision Center 30-2208)
• Heather Lynn Walker
• Laura Walker, DO
• James Joseph Walsh, MD
• Nan Kilpatrick Walsh, CRNP
• Verlyn Olive Frances Warrington, MD
• Amy G Welch
• Charles Felix Welch, AUD
• Alyssa Jane Welles, PA-C
• Elizabeth Werner, MD

• Physician Assistant in Sayre, PA
• Providers in Sayre, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.