Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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India Nicole Wolfendale, PA-C

Individual provider Physician Assistant · NPI 1992364590

India Nicole Wolfendale, PA-C is a Physician Assistant in Moses Lake, Washington. Qualified in 2019, 7 years ago. Practices with Moses Lake Community Health Center, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

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

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Practice location Address checks out

605 S Coolidge St
Moses Lake, WA 98837-1873
Phone: (509) 765-0674
Fax: (509) 765-6591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 W 1st Ave, Toppenish, WA 98948-1564 — (509) 865-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60958714 (WA)

Record details

NPI number1992364590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 7, 2021

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 Moses Lake Community Health Center — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moses Lake