KASANDRA LEE WYLIN (FNP-BC) – Family Nurse Practitioner, NPI 1144748351

Family Nurse Practitioner

KASANDRA LEE WYLIN (FNP-BC) is a healthcare provider. based in Richmond, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. 4704232307 (MI). The NPI Number for KASANDRA LEE WYLIN (FNP-BC) is 1144748351

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

KASANDRA LEE WYLIN (FNP-BC)

NPI

1144748351

Phone

(586) 625-2798

Address

69111 N. FOREST AVE

Enumeration Date

7 September 2017

Last Update Date

21 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5869354000

Graduation Year

2017 (9 years ago)

PAC ID

1254415755

Group Practice PAC ID

4981857489

Professional Enrollment ID

I20171121003189

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for KASANDRA LEE WYLIN (FNP-BC)

North Forest Avenue, Richmond, Macomb County, Michigan, 48062, United States
RICHMOND, MI 48062
Phone: (586) 625-2798
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 48062)

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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: 4981857489View full group profile

Name	Specialty	State
LAWRENCE III HOLLOWAY (NP)	-	MI
SHAFIQUL ALAM (MD)	Internal Medicine	MI
MRS. VANESSA DANETTE PERDOMO (PA-C)	-	MI
KARIM DIRANI	Internal Medicine	MI

Reviews

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Frequently asked questions

How is KASANDRA LEE WYLIN (FNP-BC) identified in CMS data?

CMS-hosted NPPES data lists KASANDRA LEE WYLIN (FNP-BC) with NPI 1144748351.

Is KASANDRA LEE WYLIN (FNP-BC) listed as active for patients and plans?

The listing shows KASANDRA LEE WYLIN (FNP-BC) as active in the NPI system.

What taxonomy line describes KASANDRA LEE WYLIN (FNP-BC)?

For research purposes, treat KASANDRA LEE WYLIN (FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

What area does KASANDRA LEE WYLIN (FNP-BC) serve?

KASANDRA LEE WYLIN (FNP-BC)'s listing highlights Richmond, Michigan; more addresses can appear in NPPES.

Why does KASANDRA LEE WYLIN (FNP-BC) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.