ANNA WADDELL – Nurse Practitioner, NPI 1114400199

ANNA WADDELL is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 78178 (KS). The NPI Number for ANNA WADDELL is 1114400199

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANNA WADDELL
NPI
1114400199
Phone
Not provided
Address
2402 N VINEGATE CIR
Enumeration Date
14 September 2018
Last Update Date
14 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3167550144
Graduation Year
2018 (8 years ago)
PAC ID
2264785013
Group Practice PAC ID
6002040557
Professional Enrollment ID
I20181025001353
Address ID
KS672143821WI929XXAVEX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for ANNA WADDELL

  • 2402, North Vinegate Circle, Tallgrass East, Minneha, Wichita, Sedgwick County, Kansas, 67226, United States

    WICHITA, KS 672263652

    Phone:

    Type: Mailing

  • 503, North Rock Road, Forest Hills, Minneha, Wichita, Sedgwick County, Kansas, 67206, United States

    WICHITA, KS 672261355

    Phone: (316) 312-0002

    Fax: (316) 854-5644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Davol Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$20
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: 2018-10-25

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
I20181025001353INurse PractitionerKSTBD

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 67226)

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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: 6002040557View full group profile
NameSpecialtyState
Nurse PractitionerKS
Family PracticeKS
Internal Medicine, HospitalistKS
Nurse PractitionerKS
Nurse PractitionerKS
-TX
Nurse PractitionerKS
Physical Medicine And RehabilitationMO
Nurse PractitionerKS
Physical Medicine And RehabilitationKS

Reviews

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Frequently asked questions

What number should I use to identify ANNA WADDELL for billing?
Administrative and clinical systems typically use NPI 1114400199 for ANNA WADDELL.
Is ANNA WADDELL's NPI status active today?
Active status means ANNA WADDELL's NPI record is not deactivated in the public file.
What does the directory say ANNA WADDELL does?
Insurance directories may phrase it differently, but here ANNA WADDELL maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to ANNA WADDELL?
The directory associates ANNA WADDELL with Wichita, Kansas. Check all listed addresses for suites or satellite offices.
Who maintains ANNA WADDELL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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