LAURA KAILEY WINKLEBLACK (CRNP) – Acute Care Nurse Practitioner, NPI 1134446552

LAURA KAILEY WINKLEBLACK (CRNP) is a healthcare provider. based in Phoenix, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 011021 (PA). The NPI Number for LAURA KAILEY WINKLEBLACK (CRNP) is 1134446552

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LAURA KAILEY WINKLEBLACK (CRNP)
NPI
1134446552
Phone
(602) 839-6040
Address
1441 N 12TH ST FL 2
Enumeration Date
24 April 2010
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8442424664
Graduation Year
2009 (17 years ago)
PAC ID
7911195821
Group Practice PAC ID
5991008054
Professional Enrollment ID
I20121017000354
Address ID
AZ850062837PH1441XSTXX499
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:16State licenses:3Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for LAURA KAILEY WINKLEBLACK (CRNP)

  • 1441 N 12TH ST FL 2

    PHOENIX, AZ 850062837

    Phone: (602) 839-6040

    Fax: (602) 839-3411

    Type: Mailing

  • 925 CHESTNUT ST

    FIFTH FLOOR

    PHILADELPHIA, PA 191074216

    Phone: (267) 339-3500

    Fax: (215) 503-0580

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CooperSurgical, Inc. ($120).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2012-10-17

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
I20121017000354INurse PractitionerAZTBD

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 85006)

Loading plans...

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: 5991008054View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
O B S T E T R I C S/ G Y N E C O L O G YAZ
Nurse PractitionerAZ
O B S T E T R I C S/ G Y N E C O L O G YAZ
Gastroenterology, Internal MedicineAZ
Nurse PractitionerAZ
Oral Surgery, Maxillofacial SurgeryNJ
Clinical PsychologistAZ
U R O L O G YMD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find LAURA KAILEY WINKLEBLACK (CRNP)'s NPI?
You can confirm LAURA KAILEY WINKLEBLACK (CRNP) with NPI 1134446552; it appears in the national provider directory.
Does this profile mean LAURA KAILEY WINKLEBLACK (CRNP) is currently active?
Yes — LAURA KAILEY WINKLEBLACK (CRNP) appears active in the national provider directory.
What does LAURA KAILEY WINKLEBLACK (CRNP) treat or focus on?
Patients typically see LAURA KAILEY WINKLEBLACK (CRNP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LAURA KAILEY WINKLEBLACK (CRNP)'s primary listing?
We display Phoenix, Arizona because that is what the record indicates for LAURA KAILEY WINKLEBLACK (CRNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

HELEN NATALIE BELL (ACNP)

Acute Care Nurse Practitioner
13460 N 94TH DR STE J1
NPI: 1336140185

PAULA K DEANDA (NP)

Family Nurse Practitioner
North Central Avenue, Phoenix, Maricopa County, Arizona, 85004-1905, United States
NPI: 1831178912

MARGARET ELAINE PEREZ (APRN, BC)

Acute Care Nurse Practitioner
1331, North 7th Street, North Garfield, Central City, Phoenix, Maricopa County, Arizona, 85006, United States
NPI: 1770533671

The CORE Institute

Orthopaedic Surgery Physician
14520 W Granite Valley Dr Ste 210
NPI: 1427095801

SUZZAN M TARNO (CRNP)

Acute Care Nurse Practitioner
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
NPI: 1376571778

MANDA LOUISE CHATELAIN (NP)

Acute Care Nurse Practitioner
1331 N 7TH ST STE 405
NPI: 1124049838

DIANE M MOSS (NP)

Acute Care Nurse Practitioner
North 12th Street, Phoenix, Maricopa County, Arizona, 85034, United States
NPI: 1760403299