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

Mrs. Madison Wanyo, PA

Individual provider Physician Assistant · NPI 1245916592

Mrs. Madison Wanyo, PA is a Physician Assistant in Pawtucket, Rhode Island. Qualified in 2023, 3 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1145 Main St
Pawtucket, RI 02860-7825
Phone: (401) 722-0081
Fax: (401) 312-0318
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

Physician Assistant (primary) Taxonomy 363A00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence PA01619 (RI)

Record details

NPI number1245916592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pawtucket