Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Kavanaugh, PAC

Individual provider Surgical Physician Assistant · NPI 1861047425

Amanda Kavanaugh, PAC is a Physician Assistant in Wenatchee, Washington. Qualified in 2019, 7 years ago. Practices with Central Washington Health Services Association, a 702-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1201 S Miller St
Wenatchee, WA 98801-3201
Phone: (509) 663-8711
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60938355 (WA)

Record details

NPI number1861047425
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address820 N Chelan Ave, Wenatchee, WA 98801-2028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Central Washington Health Services Association — 702 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wenatchee