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ELLAYNA RENEE WIEDOW AVILA PA-C
NPI 1417435181
Physician Assistant - Surgical in Chandler, AZ

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
485 S DOBSON RD STE 110, CHANDLER, AZ 85224(480) 728-4470(480) 728-4499 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2024, Dec 11, 2023, Nov 3, 2023 and 3 more (6 updates tracked since 2018).

About Ellayna Renee Wiedow Avila Pa-c NPPES

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

ELLAYNA RENEE WIEDOW AVILA PA-C (NPI 1417435181) is an individual surgical provider in Chandler, Arizona, licensed in Arizona (7241) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417435181
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELLAYNA RENEE WIEDOW AVILACredential: PA-C
Location Address485 S DOBSON RD STE 110Chandler, AZ 85224-5600
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(480) 728-4470
Fax(480) 728-4499
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateDecember 5, 20246 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1417435181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 7241
485 S DOBSON RD STE 110, Chandler, AZ 85224
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Ellayna Renee Wiedow Avila Pa-c 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 ID9739424318
PECOS Enrollment IDI20181231001750
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
13 services11 patients

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.

JUSTINE VOGEL PA-C
Physician Assistant
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
WILLIAM NAYLOR DO
Orthopaedic Surgery (Orthopaedic Trauma)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
NICOLE SCHATZ PA-C
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
BENJAMIN H SELL
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
DR. NEIL EDWARD MOTZKIN M.D.
Orthopaedic Surgery
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
JENNIFER MCDANIEL AG-ACNP
Nurse Practitioner (Acute Care)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
REBECCA N GREENE PA-C
Physician Assistant (Surgical)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470
ADAM H. KANTOR MD
Orthopaedic Surgery (Orthopaedic Trauma)
485 S DOBSON RD STE 110
CHANDLER, AZ 85224
Maricopa County (480) 728-4470

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 Ellayna Avila's NPI number?

The NPI number for Ellayna Avila is 1417435181. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Ellayna Avila located?

Ellayna Avila practices at 485 S Dobson Rd Ste 110, Chandler, AZ 85224. The listed phone number is (480) 728-4470.

What is Ellayna Avila's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ellayna Avila enrolled in Medicare?

Yes. Ellayna Avila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellayna Avila accept?

Health plans from Blue Cross Blue Shield of Arizona list Ellayna Avila 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 Ellayna Avila was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.