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DR. QUEENETH UWANDU MD
NPI 1396359410
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Active since September 04, 2020PECOS Enrolled
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-3746 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 4, 2026, Apr 28, 2026, Jul 13, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Queeneth Uwandu Md NPPES

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

DR. QUEENETH UWANDU MD (NPI 1396359410) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396359410
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. QUEENETH UWANDUCredential: MD
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0001
Mailing Address1000 E Mountain BlvdWilkes Barre, PA 18711-0001 · (570) 808-3746
Phone(570) 808-3746
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 4, 2020
Last NPPES UpdateJuly 13, 20215 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1396359410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Queeneth Uwandu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42714990
PECOS Enrollment IDI20260504008131
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Queeneth Uwandu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Baldy PLLC
1,305 mi
Family Medicine
207 E PARKERVILLE RD
Desoto, TX 75115
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1225851579 (385) 454-5027
Providence Health & Services - Washington
2,289 mi
Family Medicine
19200 N KELSEY ST
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1225289333 (360) 794-7994
Providence Health & Services-Wa
2,299 mi
Addiction Medicine
1321 COLBY AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 135 clinicians in this Medicare group
NPI 1033360144 (425) 261-3968

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JACOB SHAJI
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queeneth Uwandu's NPI number?

The NPI number for Queeneth Uwandu is 1396359410. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Queeneth Uwandu located?

Queeneth Uwandu practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-3746.

What is Queeneth Uwandu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Queeneth Uwandu enrolled in Medicare?

Yes. Queeneth Uwandu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Queeneth Uwandu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Queeneth Uwandu reassigns Medicare benefits to 3 organizations: High Baldy PLLC (Desoto, TX), Providence Health & Services - Washington (Monroe, WA) and Providence Health & Services-Wa (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Queeneth Uwandu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Queeneth Uwandu accept?

Health plans from Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska list Queeneth Uwandu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Queeneth Uwandu was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.