KAILEY WITT (MD) – Family Medicine Physician, NPI 1114280831

KAILEY WITT (MD) is a healthcare provider. based in Perham, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 59624 (MN). The NPI Number for KAILEY WITT (MD) is 1114280831

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KAILEY WITT (MD)
NPI
1114280831
Phone
(218) 347-1200
Address
1000 CONEY ST W
Enumeration Date
18 June 2012
Last Update Date
15 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2183471200
Graduation Year
2012 (14 years ago)
PAC ID
7113156415
Group Practice PAC ID
2264327766
Professional Enrollment ID
I20151026001583
Address ID
MN565732102PE1000XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for KAILEY WITT (MD)

  • 1000 CONEY ST W

    PERHAM, MN 565732102

    Phone: (218) 347-1200

    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 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Lilly USA, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$19
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: 2015-10-26

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
I20151026001583IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 56573)

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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: 2264327766View full group profile
NameSpecialtyState
Emergency MedicineNY
Nurse PractitionerND
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Family PracticeMN
General SurgeryND
Family PracticeGA
Family PracticeND
Family PracticeID
Family PracticeMN

Reviews

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Frequently asked questions

Does KAILEY WITT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KAILEY WITT (MD) uses 1114280831.
Does CMS list KAILEY WITT (MD) as active?
Yes — KAILEY WITT (MD) is active in the NPI listing used on this page.
What healthcare role does KAILEY WITT (MD) hold?
Scheduling teams often label KAILEY WITT (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KAILEY WITT (MD)?
KAILEY WITT (MD)'s geographic hint is Perham, Minnesota in our summary view.
Why does KAILEY WITT (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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