MS. KAIDI WANG (APRN) – Acute Care Nurse Practitioner, NPI 1316706922

MS. KAIDI WANG (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4017280 (KY). The NPI Number for MS. KAIDI WANG (APRN) is 1316706922

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. KAIDI WANG (APRN)
NPI
1316706922
Phone
(602) 881-4363
Address
11717 TROTTINGHAM CIR
Enumeration Date
18 March 2024
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028978100
Graduation Year
2024 (2 years ago)
PAC ID
5597207456
Group Practice PAC ID
2860890704
Professional Enrollment ID
I20240606001741
Address ID
KY402074605LO4000XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MS. KAIDI WANG (APRN)

  • 11717 TROTTINGHAM CIR

    LOUISVILLE, KY 402993538

    Phone: (602) 881-4363

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-06

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
I20240606001741INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40299)

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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: 2860890704View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify MS. KAIDI WANG (APRN) for billing?
Administrative and clinical systems typically use NPI 1316706922 for MS. KAIDI WANG (APRN).
Does the public listing show MS. KAIDI WANG (APRN) as active?
MS. KAIDI WANG (APRN)'s NPI record reflects an active status in NPPES.
Which specialty label fits MS. KAIDI WANG (APRN)?
NPPES ties MS. KAIDI WANG (APRN) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MS. KAIDI WANG (APRN) in Louisville, Kentucky?
For routing, start with Louisville, Kentucky for MS. KAIDI WANG (APRN), then verify phone and hours locally.
Can I export MS. KAIDI WANG (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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