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WENDY WILEY PA
NPI 1720192487
Physician Assistant - Medical in Occidental, CA

Active since August 19, 2006PECOS Enrolled
3802 MAIN ST, OCCIDENTAL, CA 95465(707) 874-2444(707) 874-1664 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wendy Wiley Pa NPPES

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

WENDY WILEY PA (NPI 1720192487) is an individual medical provider in Occidental, California, licensed in California (PA11243) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720192487
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameWENDY WILEYCredential: PA
Location Address3802 MAIN STOccidental, CA 95465
Mailing AddressPo Box 1449Guerneville, CA 95446-1449 · (707) 869-5977 · Fax (707) 869-5983
Phone(707) 874-2444
Fax(707) 874-1664
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJune 25, 2015
✔ NPI 1720192487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA11243
3802 MAIN ST, Occidental, CA 95465
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Other Identifiers 4

Medicare UPINS09877CA
OtherPA11243CA · State License Number
Medicare OSCAR/certification551803CA
Medicaid1598768962CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy Wiley 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.

Other Providers at the Same Location NPPES 2

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

MS. MONIQUE MARI PARRISH LCSW
Social Worker (Clinical)
3802 MAIN ST
OCCIDENTAL, CA 95465
Sonoma County (707) 874-2444
RAIN MOORE MD
Family Medicine
3802 MAIN ST
OCCIDENTAL, CA 95465
Sonoma County (707) 874-2444

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 Wendy Wiley's NPI number?

The NPI number for Wendy Wiley is 1720192487. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Wendy Wiley located?

Wendy Wiley practices at 3802 Main St, Occidental, CA 95465. The listed phone number is (707) 874-2444.

What is Wendy Wiley's specialty?

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

Is Wendy Wiley enrolled in Medicare?

Yes. Wendy Wiley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wendy Wiley was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.