LUISANNA SOTO WADSWORTH PA
NPI 1982234761
Physician Assistant in Dallas, PA

Q: What is Luisanna Wadsworth's NPI number?

The NPI number for Luisanna Wadsworth is 1982234761. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Luisanna Wadsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 22, 2020PECOS Enrolled

114 LT MICHAEL CLEARY DR, DALLAS, PA 18612(570) 675-2000(570) 675-1806 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Jan 22, 2020 (2 updates tracked since 2020).

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About Luisanna Soto Wadsworth Pa NPPES

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

LUISANNA SOTO WADSWORTH PA (NPI 1982234761) is an individual physician assistant in Dallas, Pennsylvania, licensed in Pennsylvania (MA062659) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982234761

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLUISANNA SOTO WADSWORTHCredential: PA

Location Address114 LT MICHAEL CLEARY DRDallas, PA 18612-1649

Mailing Address100 N Academy AveDanville, PA 17822-9403 · (570) 675-2000 · Fax (570) 675-1806

Phone(570) 675-2000

Fax(570) 675-1806

Sole ProprietorNo

Enumeration DateJanuary 22, 2020

Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1982234761 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 PA · MA062659

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.

114 LT MICHAEL CLEARY DR, Dallas, PA 18612

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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)

Luisanna Soto Wadsworth 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.

Areas of Expertise CMS Part B claims

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18612 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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