MICHELLE RENEE BLAIR-WUNDERLICH (NP) – Nurse Practitioner, NPI 1902194996

MICHELLE RENEE BLAIR-WUNDERLICH (NP) is a healthcare provider. based in Winfield, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 53-75442-072 (KS). The NPI Number for MICHELLE RENEE BLAIR-WUNDERLICH (NP) is 1902194996

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE RENEE BLAIR-WUNDERLICH (NP)
NPI
1902194996
Phone
(620) 221-3350
Address
221 W 8TH AVE
Enumeration Date
12 July 2011
Last Update Date
22 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202213350
Graduation Year
2011 (15 years ago)
PAC ID
6709050453
Group Practice PAC ID
9537473095
Professional Enrollment ID
I20111116000072
Address ID
KS671562852WI118XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MICHELLE RENEE BLAIR-WUNDERLICH (NP)

  • 221 W 8TH AVE

    WINFIELD, KS 671562718

    Phone: (620) 221-3350

    Fax: (620) 221-6061

    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 $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($24).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

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: 2011-11-16

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
I20111116000072INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level7138$0
81000Manual urinalysis test with examination using microscope, non-automated2117$0
71046X-ray of chest, 2 views1312$0
View full utilization report →

Insurance plans in this area (ZIP 67156)

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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: 9537473095View full group profile
NameSpecialtyState
Physician AssistantNE
-KS
Clinical Social WorkerKS
General PracticeKS
Family PracticeKS
Nurse PractitionerKS

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Frequently asked questions

What is the registry number for MICHELLE RENEE BLAIR-WUNDERLICH (NP)?
The registry entry for MICHELLE RENEE BLAIR-WUNDERLICH (NP) shows NPI 1902194996.
Is MICHELLE RENEE BLAIR-WUNDERLICH (NP) currently accepting referrals based on NPI status?
Registry metadata lists MICHELLE RENEE BLAIR-WUNDERLICH (NP) as active.
Which specialty label fits MICHELLE RENEE BLAIR-WUNDERLICH (NP)?
NPPES ties MICHELLE RENEE BLAIR-WUNDERLICH (NP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHELLE RENEE BLAIR-WUNDERLICH (NP)?
MICHELLE RENEE BLAIR-WUNDERLICH (NP) is associated with Winfield, Kansas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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