MONICA WYATT (RN) – Family Nurse Practitioner, NPI 1275985152

MONICA WYATT (RN) is a healthcare provider. based in Fort wainwright, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 165402 (AK). The NPI Number for MONICA WYATT (RN) is 1275985152

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
MONICA WYATT (RN)
NPI
1275985152
Phone
Not provided
Address
1060 GAFFNEY RD
Enumeration Date
5 July 2016
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074554555
Graduation Year
2018 (8 years ago)
PAC ID
1052821279
Group Practice PAC ID
7113302373
Professional Enrollment ID
I20250606003357
Address ID
AK997017316FA2054XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for MONICA WYATT (RN)

  • 1060 GAFFNEY RD

    FORT WAINWRIGHT, AK 997035002

    Phone:

    Type: Mailing

  • 605 CHIEF THOMAS DR

    FAIRBANKS, AK 997094848

    Phone: (907) 455-4555

    Type: Mailing

  • 2054 30TH AVE

    FAIRBANKS, AK 997017316

    Phone: (907) 455-4555

    Fax: (833) 941-2349

    Type: Location

  • 605 Chief Thomas Dr

    Fairbanks, AK 997094848

    Phone: (907) 455-4555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: ABBVIE INC. ($439).

Total Amount

$462

General + Research + Ownership

Payments

5

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250606003357INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113302373View full group profile
NameSpecialtyState
Osteopathic Manipulative Medicine, Family Practice, Family PracticeAK
Nurse PractitionerAK
Physician AssistantKY
Nurse PractitionerAK
Family PracticeAK
Nurse PractitionerAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MONICA WYATT (RN)?
MONICA WYATT (RN) — NPI 1275985152 — is the standard way to identify this listing.
Is MONICA WYATT (RN) still practicing?
MONICA WYATT (RN) is currently listed as active in the public NPI registry.
What is MONICA WYATT (RN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MONICA WYATT (RN) here. Clinical services aligned with this taxonomy classification.
What address line appears for MONICA WYATT (RN)?
MONICA WYATT (RN)'s geographic hint is Fort Wainwright, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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