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INDIA NICOLE WOLFENDALE PA-C
NPI 1992364590
Physician Assistant in Moses Lake, WA

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674(509) 765-6591 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About India Nicole Wolfendale Pa-c NPPES

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

INDIA NICOLE WOLFENDALE PA-C (NPI 1992364590) is an individual physician assistant in Moses Lake, Washington, licensed in Washington (60958714) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Toppenish, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992364590
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameINDIA NICOLE WOLFENDALECredential: PA-C
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873
Mailing Address605 S Coolidge StMoses Lake, WA 98837-1873 · (509) 765-0674 · Fax (509) 764-0193
Phone(509) 765-0674
Fax(509) 765-6591
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1992364590 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 WA · 60958714
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.
605 S COOLIDGE ST, Moses Lake, WA 98837
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Secondary Practice Location 1

Location 1510 W 1st AveToppenish, WA 98948-1564 · Phone (509) 865-5600 · Fax (509) 865-5783

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

India Nicole Wolfendale Pa-c 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 ID3072849132
PECOS Enrollment IDI20190726000894
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 98837 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. MICHEAL RYAN TOLLEY DO
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

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 India Wolfendale's NPI number?

The NPI number for India Wolfendale is 1992364590. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is India Wolfendale located?

India Wolfendale practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is India Wolfendale's specialty?

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

Is India Wolfendale enrolled in Medicare?

Yes. India Wolfendale 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 India Wolfendale accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list India Wolfendale 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.

When was this NPI record last updated?

The NPPES record for India Wolfendale was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.