WENDY A VANDERKOOI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710952478

WENDY A VANDERKOOI (CRNA) is a healthcare provider. based in Marshall, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0551 (SD). The NPI Number for WENDY A VANDERKOOI (CRNA) is 1710952478

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
WENDY A VANDERKOOI (CRNA)
NPI
1710952478
Phone
(507) 537-9114
Address
300 S BRUCE ST
Enumeration Date
17 February 2006
Last Update Date
27 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5075379007
Graduation Year
2001 (25 years ago)
PAC ID
9032213087
Group Practice PAC ID
5799695227
Professional Enrollment ID
I20070330000262
Address ID
MN562581934MA300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for WENDY A VANDERKOOI (CRNA)

  • Avera Marshall Regional Medical Center, 300, South Bruce Street, Marshall, Lyon County, Minnesota, 56283, United States

    MARSHALL, MN 562581934

    Phone: (507) 537-9114

    Fax: (507) 537-2757

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Medtronic, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$15
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: 2007-03-30

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
I20070330000262ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 56258)

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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: 5799695227View full group profile
NameSpecialtyState
U R O L O G YIA
Physical Therapist In Private PracticeMN
-MN
-ND
Certified Registered Nurse Anesthetist (Crna)MN
-AZ
Physical Therapist In Private PracticeMN
Nurse PractitionerSD
Certified Registered Nurse Anesthetist (Crna)IA
Diagnostic RadiologySD

Reviews

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Frequently asked questions

How do I look up WENDY A VANDERKOOI (CRNA) by NPI?
Use NPI 1710952478 when you need to reference WENDY A VANDERKOOI (CRNA) in forms, claims, or directories.
Is WENDY A VANDERKOOI (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does WENDY A VANDERKOOI (CRNA) treat or focus on?
Patients typically see WENDY A VANDERKOOI (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is WENDY A VANDERKOOI (CRNA)'s primary listing?
We display Marshall, Minnesota because that is what the record indicates for WENDY A VANDERKOOI (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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