WENDY LYNN FIELDS (AGACNP-BC) – Adult Health Nurse Practitioner, NPI 1962904144

WENDY LYNN FIELDS (AGACNP-BC) is a healthcare provider. based in Moraine, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN340597 (OH). The NPI Number for WENDY LYNN FIELDS (AGACNP-BC) is 1962904144

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
WENDY LYNN FIELDS (AGACNP-BC)
NPI
1962904144
Phone
(937) 991-3191
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
5 March 2018
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378320990
Graduation Year
2016 (10 years ago)
PAC ID
2961765433
Group Practice PAC ID
2961538467
Professional Enrollment ID
I20180416000406
Address ID
OH454151154DA9001XSTXX401

Contacts

Secure Messaging
wfields653920@direct.ketteringhealth.org
Other Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for WENDY LYNN FIELDS (AGACNP-BC)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3191

    Fax: (937) 223-9811

    Type: Mailing

  • 101, Main Street, Englewood, McMinn County, Tennessee, 37329, United States

    ENGLEWOOD, OH 454151184

    Phone: (937) 832-2425

    Type: Location

  • 405 W GRAND AVE

    DAYTON, OH 454057538

    Phone: (937) 723-3874

    Fax: (937) 723-4209

    Type: Location

  • 9000 N Main St Ste 101

    Englewood, OH 454151184

    Phone: (937) 832-2425

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $685.

Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($685).

Total Amount

$685

General + Research + Ownership

Payments

7

Total payment records

General Amount

$685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-04-16

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
I20180416000406INurse PractitionerOHTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

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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: 2961538467View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)OH
Nurse PractitionerOH
Nurse PractitionerOH
Pulmonary DiseaseOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference WENDY LYNN FIELDS (AGACNP-BC)?
For WENDY LYNN FIELDS (AGACNP-BC), use NPI 1962904144 as the unique 10-digit identifier.
Would WENDY LYNN FIELDS (AGACNP-BC) appear as active to a payer?
You can treat WENDY LYNN FIELDS (AGACNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is WENDY LYNN FIELDS (AGACNP-BC)?
WENDY LYNN FIELDS (AGACNP-BC) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is WENDY LYNN FIELDS (AGACNP-BC) registered?
Use Moraine, Ohio as the headline location for WENDY LYNN FIELDS (AGACNP-BC) here.
Can I trust this NPI listing for WENDY LYNN FIELDS (AGACNP-BC)?
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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