AMANDA KATHLEEN WENGER PA
NPI 1639465917
Physician Assistant in Indianapolis, IN

Q: What is Amanda Wenger's NPI number?

The NPI number for Amanda Wenger is 1639465917. It was assigned to this individual provider in the NPPES registry on June 24, 2011. The provider is also known as Amanda Kathleen Cook PA.

Q: What is Amanda Wenger'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 Amanda Wenger was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 24, 2011PECOS Enrolled

5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237(317) 865-4800(317) 865-4806 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Mar 16, 2021, Feb 11, 2019 (3 updates tracked since 2019).

On this page

About Amanda Kathleen Wenger Pa NPPES

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

AMANDA KATHLEEN WENGER PA (NPI 1639465917) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10001290A) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639465917

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA KATHLEEN WENGERCredential: PA

Location Address5255 E STOP 11 RD STE 450Indianapolis, IN 46237-6342

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 865-4800

Fax(317) 865-4806

Sole ProprietorNo

Enumeration DateJune 24, 2011

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1639465917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10001290A

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.

5255 E STOP 11 RD STE 450, Indianapolis, IN 46237

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Other Names 1

Former Name (1)Amanda Kathleen Cook Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Kathleen Wenger Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 20

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

KYLE NORRIS SEUDEAL MD

Surgery