LORI WALDERA (C.N.M, F. N. P) – Nurse Practitioner, NPI 1972591287

LORI WALDERA (C.N.M, F. N. P) is a healthcare provider. based in Hutchinson, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials C.N.M, F. N. P. They hold a License No. CNP3348 (MN). The NPI Number for LORI WALDERA (C.N.M, F. N. P) is 1972591287

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LORI WALDERA (C.N.M, F. N. P)
NPI
1972591287
Phone
(320) 587-2020
Address
3 CENTURY AVE
Enumeration Date
11 October 2005
Last Update Date
1 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202343290
Graduation Year
1995 (31 years ago)
PAC ID
5890882120
Group Practice PAC ID
0345330072
Professional Enrollment ID
I20071101000678
Address ID
MN553503108HU3XXXXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for LORI WALDERA (C.N.M, F. N. P)

  • 3, Century Avenue Southeast, Hutchinson, McLeod County, Minnesota, 55350, United States

    HUTCHINSON, MN 55350

    Phone: (320) 587-2020

    Fax: (320) 484-4686

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-01

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
I20071101000678INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8983$0
View full utilization report →

Insurance plans in this area (ZIP 55350)

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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: 0345330072View full group profile
NameSpecialtyState
Cardiac ElectrophysiologyMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Internal MedicineMN
Nurse PractitionerMN
Physician AssistantIL
Family Practice, Emergency MedicineMN
Internal MedicineMI
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is LORI WALDERA (C.N.M, F. N. P) listed with a National Provider Identifier?
Yes — LORI WALDERA (C.N.M, F. N. P) has NPI 1972591287 on file in the registry.
Active or inactive — what applies to LORI WALDERA (C.N.M, F. N. P)?
You should see LORI WALDERA (C.N.M, F. N. P) as active in CMS-hosted NPPES data.
What expertise is attributed to LORI WALDERA (C.N.M, F. N. P)?
LORI WALDERA (C.N.M, F. N. P)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is LORI WALDERA (C.N.M, F. N. P) registered?
Use Hutchinson, Minnesota as the headline location for LORI WALDERA (C.N.M, F. N. P) here.
Can I trust this NPI listing for LORI WALDERA (C.N.M, F. N. P)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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