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Active NPI 1245916592 Individual Practitioner Female Practitioner

Madison Wanyo , PA

Physician Assistant • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Madison Wanyo, PA is a certified Physician Assistant practicing in Pawtucket, RI. With approximately 3 years of clinical experience since completing medical education in 2023, Madison Wanyo delivers high-quality medical care to the local community at 1145 MAIN ST.

Madison Wanyo is affiliated with Blackstone Valley Community Health Care Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1145 Main St

Pawtucket, RI 028607825

Telephone 4017220081
Fax 4013120318
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pawtucket, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.1 yrs vs City Avg
City Avg: 8.1 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Pawtucket, RI (687 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wanyo (3 Years) 3 Yrs
Pawtucket Specialty Average (8.1 Years) 8.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License RI PA01619

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Blackstone Valley Community Health Care Inc

9 Chestnut St, Central Falls, RI 028632005

Phone: 4017220081

Blackstone Valley Community Health Care Inc

39 E Ave, Pawtucket, RI 028604003

Phone: 4013129813

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charlotte Crider

Family Medicine

NPI 1063152916
Leslie Kennedy , NP-C

Nurse Practitioner - Family

NPI 1114400256

Nurse Practitioner (Certified)

Nicole Snapper

Nurse Practitioner - Family

NPI 1114498995
NPI 1134849953

PAS

Katelyn Larsson , PA-C

Physician Assistant

NPI 1174053888

Physician Assistant (Certified)

Katherine Rodriguez

Community Health Worker

NPI 1174404461

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated July 15, 2026

Recorded as MADISON WANYO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2026

Physician Assistant

📍
Updated Practice Location June 13, 2024

Registered at 1145 MAIN ST, PAWTUCKET, RI 028607825 (Tel: 4017220081)

📍
Updated Business Mailing Address June 13, 2024

Registered at 1145 MAIN ST, PAWTUCKET, RI 028607825 (Tel: 4017220081)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Family Medicine (License #PA01619 in RI)

NPI Profile Active June 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2023

Registered at 89 ROGERS AVE, BARRINGTON, RI 028061122 (Tel: 4014298322)

📍
Updated Business Mailing Address June 22, 2023

Registered at 89 ROGERS AVE, BARRINGTON, RI 028061122 (Tel: 4014298322)

👤
Provider Name / Credentials Updated June 22, 2023

Recorded as MADISON LOMBARI, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245916592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2023
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

1145 Main St

Pawtucket, RI 028607825

Phone: 4017220081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.