Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MADISON WANYO PA
NPI 1245916592
Physician Assistant in Pawtucket, RI

Q: What is Madison Wanyo's NPI number?

The NPI number for Madison Wanyo is 1245916592. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Madison Wanyo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Wanyo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2023PECOS Enrolled

1145 MAIN ST, PAWTUCKET, RI 02860(401) 722-0081(401) 312-0318 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Oct 6, 2025, Jun 13, 2024 and 1 more (4 updates tracked since 2023).

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About Mrs. Madison Wanyo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MADISON WANYO PA (NPI 1245916592) is an individual physician assistant in Pawtucket, Rhode Island and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245916592

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MADISON WANYOCredential: PA

Location Address1145 MAIN STPawtucket, RI 02860-7825

Mailing Address1145 Main StPawtucket, RI 02860-7825 · (401) 722-0081 · Fax (401) 312-0318

Phone(401) 722-0081

Fax(401) 312-0318

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 22, 2023

Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1245916592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA01619 (RI)

1145 MAIN ST, Pawtucket, RI 02860

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Madison Wanyo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214377456

PECOS Enrollment IDI20240503003298

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATELYN MAE LARSSON PA-C

Physician Assistant