DR. KRISTEN VANDEWALKER (M.D.) – Specialist, NPI 1124070743
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KRISTEN VANDEWALKER (M.D.)
C Street, Elvas, Sacramento, Sacramento County, California, 95816, United States
SUITE 200-E
SACRAMENTO, CA 958163300
Phone: (916) 447-6267
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2023-11-05 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($128).
Total Amount
$128
General + Research + Ownership
Payments
2
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $128 |
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: 2006-11-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061117000201 | I | Pathology | CA | TBD |
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.
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 95816)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | CA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 173 | 154 |
| PATHOLOGY | CA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 380 | 184 |
| PATHOLOGY | CA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 328 | 71 |
| PATHOLOGY | CA | 88342 | Tissue or cell analysis by immunologic technique | 222 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| - | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | CA |
Reviews
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