Ellayna Renee Wiedow Avila, PA-C
NPI 1417435181ActiveIndividual· Physician Assistant, Surgical· Chandler, AZ
Physician Assistant, Surgical (PA-C) with Sjhmc Physician Services, practicing in Chandler, Arizona. 71 Medicare patients in 2024, $6,265 paid; all of their 56 Part D prescriptions were generic.
Overview
| NPI | 1417435181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 3, 2018 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 7241 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 164 across 32 procedure codes |
| Paid by Medicare | $6,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 56 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $453.98 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sjhmc Physician ServicesGilbert, AZ · 646 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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