AMANDA KAVANAUGH PAC
NPI 1861047425
Physician Assistant - Surgical in Wenatchee, WA

Active since August 09, 2019PECOS EnrolledAccepts Medicare Assignment
1201 S MILLER ST, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Aug 9, 2019 (2 updates tracked since 2019).

About Amanda Kavanaugh Pac NPPES

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

AMANDA KAVANAUGH PAC (NPI 1861047425) is an individual surgical provider in Wenatchee, Washington, licensed in Washington (PA60938355) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861047425
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMANDA KAVANAUGHCredential: PAC
Location Address1201 S MILLER STWenatchee, WA 98801-3201
Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1861047425 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 WA · PA60938355
1201 S MILLER ST, Wenatchee, WA 98801

Other Names 1

Former Name (1)Amanda Roy Pac

Accepted 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

Amanda Kavanaugh Pac 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 ID6002145158
PECOS Enrollment IDI20190916000386
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500016
Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County
Emergency services Birthing friendly

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.

Pharmacist
1201 S MILLER ST
WENATCHEE, WA 98801
Internal Medicine (Interventional Cardiology)
1201 S MILLER ST
WENATCHEE, WA 98801
Hospitalist
1201 S MILLER ST
WENATCHEE, WA 98801
Dietitian, Registered
1201 S MILLER ST
WENATCHEE, WA 98801
Radiology (Vascular & Interventional Radiology)
1201 S MILLER ST, CENTRAL WASHINGTON HOSPITAL
WENATCHEE, WA 98801
Surgery (Vascular Surgery)
1201 S MILLER ST
WENATCHEE, WA 98801
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1201 S MILLER ST
WENATCHEE, WA 98801
Speech-Language Pathologist
1201 S MILLER ST
WENATCHEE, WA 98801

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 Amanda Kavanaugh's NPI number?

The NPI number for Amanda Kavanaugh is 1861047425. It was assigned to this individual provider in the NPPES registry on August 9, 2019. The provider is also known as Amanda Roy Pac.

Where is Amanda Kavanaugh located?

Amanda Kavanaugh practices at 1201 S Miller St, Wenatchee, WA 98801. The listed phone number is (509) 663-8711.

What is Amanda Kavanaugh's specialty?

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

Is Amanda Kavanaugh enrolled in Medicare?

Yes. Amanda Kavanaugh 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 Amanda Kavanaugh accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amanda Kavanaugh 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.

Is Amanda Kavanaugh affiliated with any hospitals?

According to CMS data, Amanda Kavanaugh is affiliated with Confluence Health Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Kavanaugh was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.