Mary Anne Kidwell, PA-C
NPI 1649365289ActiveIndividual· Physician Assistant, Medical· Delray Beach, FL
Physician Assistant, Medical (PA-C) in Delray Beach, Florida, licensed in FL, SD, NV and MT, with an NPI issued in October 2006. In 2024 Medicare paid $1,671 for 17 patients, and Part D covered 74 of their prescriptions, 88% of them generic.
Overview
| NPI | 1649365289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 9118662 | FL |
| Physician Assistant | 363A00000X | 1537 | SD |
| Physician Assistant, Medical | 363AM0700X | PA839 | NV |
| Physician Assistant | 363A00000X | PA839 | NV |
| Physician Assistant | 363A00000X | 174200 | MT |
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 (FL); Practitioner - Physician Assistant (NV); Practitioner - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 22 across 15 procedure codes |
| Paid by Medicare | $1,671 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 106 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,844 |
| Generic share | 88% of claims |
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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