KAITLYN JAN WENDT – Primary Care Nurse Practitioner, NPI 1366329500

KAITLYN JAN WENDT is a healthcare provider. based in Springfield, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 13247 (MN). The NPI Number for KAITLYN JAN WENDT is 1366329500

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KAITLYN JAN WENDT
NPI
1366329500
Phone
(507) 430-2461
Address
37500 COUNTY ROAD 24
Enumeration Date
19 August 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
9739677238
Group Practice PAC ID
6305887092
Professional Enrollment ID
I20251024001962
Address ID
MN562771117Ol100XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KAITLYN JAN WENDT

  • 37500 COUNTY ROAD 24

    SPRINGFIELD, MN 560871605

    Phone: (507) 430-2461

    Type: Mailing

  • 100 HEALTHY WAY

    OLIVIA, MN 562771117

    Phone: (800) 916-1836

    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: 2025-10-24

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
I20251024001962INurse PractitionerMNTBD

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 56087)

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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: 6305887092View full group profile
NameSpecialtyState
Family PracticeMN
Nurse PractitionerMN
Clinical Social WorkerMN
Medical Oncology, HematologyMN
Family PracticeMN
Cardiovascular Disease (Cardiology)MN
-MN
Family PracticeBRITISH COLUMBIA
Nurse PractitionerMN
Cardiovascular Disease (Cardiology), Internal MedicineMN

Reviews

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Frequently asked questions

Is KAITLYN JAN WENDT listed with a National Provider Identifier?
Yes — KAITLYN JAN WENDT has NPI 1366329500 on file in the registry.
Is there an active status for KAITLYN JAN WENDT?
For scheduling context, KAITLYN JAN WENDT is shown as active in the registry.
What area of care is associated with KAITLYN JAN WENDT?
KAITLYN JAN WENDT's record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KAITLYN JAN WENDT?
Directory geography for KAITLYN JAN WENDT centers on Springfield, Minnesota.
When was this NPI issued?
Enumeration for KAITLYN JAN WENDT is noted as August 19, 2025 where the registry provides it.

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