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WANDA SANTOS CIULLA PHYSICIAN ASSISTANT
NPI 1417460833
Physician Assistant - Medical in Paris, IL

Active since November 07, 2017PECOS Enrolled
509 S MAIN ST, PARIS, IL 61944(217) 465-8053 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda Santos Ciulla Physician Assistant NPPES

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

WANDA SANTOS CIULLA PHYSICIAN ASSISTANT (NPI 1417460833) is an individual medical provider in Paris, Illinois, licensed in New York (085000243) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417460833
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameWANDA SANTOS CIULLACredential: PHYSICIAN ASSISTANT
Location Address509 S MAIN STParis, IL 61944-2325
Mailing Address10027 Indian Boundary StParis, IL 61944-8253 · (217) 465-5442
Phone(217) 465-8053
Sole ProprietorNo
Enumeration DateNovember 7, 2017
✔ NPI 1417460833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NY · 085000243✔ Licensed in IL · 085000243
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 085000243 (NY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 085000243 (NY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085000243 (NY)
509 S MAIN ST, Paris, IL 61944
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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 (PECOS)

Wanda Santos Ciulla Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Wanda Ciulla's NPI number?

The NPI number for Wanda Ciulla is 1417460833. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Wanda Ciulla located?

Wanda Ciulla practices at 509 S Main St, Paris, IL 61944. The listed phone number is (217) 465-8053.

What is Wanda Ciulla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Wanda Ciulla enrolled in Medicare?

Yes. Wanda Ciulla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Ciulla was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.