KRISTEN D VANWATTEGHEM – Audiologist, NPI 1639292717

KRISTEN D VANWATTEGHEM is a healthcare provider. based in Bradenton, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. AY0000946 (FL). The NPI Number for KRISTEN D VANWATTEGHEM is 1639292717

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN D VANWATTEGHEM
NPI
1639292717
Phone
(941) 749-5222
Address
701 MANATEE AVE W
Enumeration Date
6 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417495222
Graduation Year
1997 (29 years ago)
PAC ID
7911174271
Group Practice PAC ID
2860474822
Professional Enrollment ID
I20120127000237
Address ID
FL342058624BR701XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for KRISTEN D VANWATTEGHEM

  • 701 MANATEE AVE W

    SUITE 201

    BRADENTON, FL 342058604

    Phone: (941) 749-5222

    Fax: (941) 749-1839

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-01-27

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
I20120127000237IQualified AudiologistFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function609594$0
92557Comprehensive hearing and speech recognition test608594$0
View full utilization report →

Insurance plans in this area (ZIP 34205)

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Provider's Procedures

KRISTEN D VANWATTEGHEM performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTFL92567Eardrum testing using ear probe1313

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: 2860474822View full group profile
NameSpecialtyState
Qualified AudiologistFL
Qualified AudiologistFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
-FL
-FL
Qualified AudiologistFL

Reviews

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Frequently asked questions

What is KRISTEN D VANWATTEGHEM's NPI number?
KRISTEN D VANWATTEGHEM's NPI is 1639292717 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KRISTEN D VANWATTEGHEM?
For scheduling context, KRISTEN D VANWATTEGHEM is shown as active in the registry.
How would a patient describe KRISTEN D VANWATTEGHEM's focus?
For KRISTEN D VANWATTEGHEM, the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
Where in Florida is KRISTEN D VANWATTEGHEM registered?
Use Bradenton, Florida as the headline location for KRISTEN D VANWATTEGHEM here.
Does KRISTEN D VANWATTEGHEM accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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