KENDAHL ANN LUDIKER (PA) – Physician Assistant, NPI 1083248686
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for KENDAHL ANN LUDIKER (PA)
15541 W FIDDLEWOOD CT
HAUSER, ID 838544686
Phone:
Type: Mailing
3200 GRAND AVE
DES MOINES, IA 503124104
Phone: (515) 271-1569
Type: Location
PO BOX 1529
DEER PARK, WA 990061529
Phone: (509) 276-5005
Fax: (844) 807-3782
Type: Mailing
905 E D ST
DEER PARK, WA 990065167
Phone: (509) 276-5005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,643.
Total Amount is formed as General ($1,643) + Research ($0) + Ownership ($0) = $1,643.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($284).
Total Amount
$1,643
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,643
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $284 |
| Phathom Pharmaceuticals, Inc. | $267 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $182 |
| Lilly USA, LLC | $125 |
| ABBVIE INC. | $90 |
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: 2022-06-17
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 |
|---|---|---|---|---|
| I20220617000657 | I | Physician Assistant | WA | 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 83854)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Clinical Psychologist | WA | |
| Family Practice | WA |
Reviews
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