DR. KAYLA MOCK WALDECKER (APRN, CNM) – Advanced Practice Midwife, NPI 1205496999
Advanced Practice Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
251 CERTIFIED NURSE MIDWIFE (CNM) in MN
Provider Addresses for DR. KAYLA MOCK WALDECKER (APRN, CNM)
2606 CHICAGO AVE
MINNEAPOLIS, MN 554073706
Phone: (612) 859-4770
Type: Mailing
8845, 23rd Avenue North, Golden Valley, Hennepin County, Minnesota, 55427, United States
GOLDEN VALLEY, MN 554273229
Phone: (612) 859-4770
Type: Mailing
624 Smith Ave S
Saint Paul, MN 551072620
Phone: (651) 689-3988
Type: Location
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: 2024-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240822001657 | I | Certified Nurse Midwife (Cnm) | MN | TBD |
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.
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 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Physician Assistant | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Family Practice | MN |
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