BLAIR BAILEY WIENTJES (APRN) – Family Nurse Practitioner, NPI 1023574704

BLAIR BAILEY WIENTJES (APRN) is a healthcare provider. based in Paducah, Kentucky. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 3013291 (KY). The NPI Number for BLAIR BAILEY WIENTJES (APRN) is 1023574704

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR BAILEY WIENTJES (APRN)
NPI
1023574704
Phone
(270) 444-8477
Address
3101 PARISA DR
Enumeration Date
18 February 2019
Last Update Date
26 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704448477
Graduation Year
2018 (8 years ago)
PAC ID
7416381900
Group Practice PAC ID
0840274981
Professional Enrollment ID
I20191216000979
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for BLAIR BAILEY WIENTJES (APRN)

  • 3101, Parisa Drive, Paducah, McCracken County, Kentucky, 42003, United States

    PADUCAH, KY 420034584

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    Type: Mailing

  • 619 Old Symsonia Rd

    Benton, KY 420255094

    Phone: (270) 444-8477

    Fax: (270) 444-8479

    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 $1,503.

Total Amount is formed as General ($1,503) + Research ($0) + Ownership ($0) = $1,503.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($281).

Total Amount

$1,503

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2019-12-16

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
I20191216000979INurse PractitionerKYTBD

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
17003Destruction of precancer skin growth, 2-14 growths523137$0
99213Established patient office or other outpatient visit, 20-29 minutes248230$0
17000Destruction of precancer skin growth, 1 growth225203$0
99212Established patient office or other outpatient visit, 10-19 minutes119118$0
11104Punch biopsy, first skin growth5854$0
View full utilization report →

Insurance plans in this area (ZIP 42003)

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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: 0840274981View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
Physician AssistantKY
Physician AssistantKY
D E R M A T O L O G YKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm BLAIR BAILEY WIENTJES (APRN)'s NPI?
Yes. BLAIR BAILEY WIENTJES (APRN) is listed with NPI 1023574704 in the public NPI dataset.
Is BLAIR BAILEY WIENTJES (APRN) listed as active for patients and plans?
The listing shows BLAIR BAILEY WIENTJES (APRN) as active in the NPI system.
What taxonomy line describes BLAIR BAILEY WIENTJES (APRN)?
For research purposes, treat BLAIR BAILEY WIENTJES (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does BLAIR BAILEY WIENTJES (APRN) list a practice location?
Patients near Paducah, Kentucky may find BLAIR BAILEY WIENTJES (APRN) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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