WENDI SUZANNE HALLER (APRN) – Family Nurse Practitioner, NPI 1184026205

WENDI SUZANNE HALLER (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3008954 (KY). The NPI Number for WENDI SUZANNE HALLER (APRN) is 1184026205

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
WENDI SUZANNE HALLER (APRN)
NPI
1184026205
Phone
(502) 899-7377
Address
4003 KRESGE WAY
Enumeration Date
19 September 2014
Last Update Date
6 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022450002
Graduation Year
2014 (12 years ago)
PAC ID
8628380581
Group Practice PAC ID
9931443488
Professional Enrollment ID
I20150707000096
Address ID
KY402021745LO310XXBROA301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for WENDI SUZANNE HALLER (APRN)

  • 4003 KRESGE WAY

    SUITE 312

    LOUISVILLE, KY 402074652

    Phone: (502) 899-7377

    Fax: (502) 899-1972

    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 53 Open Payments records for all available years, with a total value of $20,499.

Total Amount is formed as General ($19,541) + Research ($958) + Ownership ($0) = $20,499.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($19,038).

Total Amount

$20,499

General + Research + Ownership

Payments

53

Total payment records

General Amount

$19,541

General payments

Research Amount

$958

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2015-07-07

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
I20150707000096INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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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: 9931443488View full group profile
NameSpecialtyState
Nurse PractitionerKY
Cardiovascular Disease (Cardiology)KY

Reviews

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Frequently asked questions

How do I look up WENDI SUZANNE HALLER (APRN) by NPI?
Use NPI 1184026205 when you need to reference WENDI SUZANNE HALLER (APRN) in forms, claims, or directories.
Is WENDI SUZANNE HALLER (APRN) active in the national directory?
WENDI SUZANNE HALLER (APRN)'s public NPI profile is in an active state.
What kind of provider is WENDI SUZANNE HALLER (APRN)?
The page reflects Family Nurse Practitioner for WENDI SUZANNE HALLER (APRN). Clinical services aligned with this taxonomy classification.
What location shows for WENDI SUZANNE HALLER (APRN)?
We surface Louisville, Kentucky for WENDI SUZANNE HALLER (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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