KIMBERLY KAY WADLEY (APRN, FNP-C) – Family Nurse Practitioner, NPI 1538787668

KIMBERLY KAY WADLEY (APRN, FNP-C) is a healthcare provider. based in Guymon, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 72715 (OK). The NPI Number for KIMBERLY KAY WADLEY (APRN, FNP-C) is 1538787668

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY KAY WADLEY (APRN, FNP-C)
NPI
1538787668
Phone
(580) 338-0072
Address
3247 NE HIGHWAY 54
Enumeration Date
6 July 2020
Last Update Date
28 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803386515
Graduation Year
2020 (6 years ago)
PAC ID
1456761584
Group Practice PAC ID
5395647655
Professional Enrollment ID
I20201102000186
Address ID
OK739423640GU421XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KIMBERLY KAY WADLEY (APRN, FNP-C)

  • 3247 NE HIGHWAY 54

    GUYMON, OK 739425143

    Phone: (580) 338-0072

    Fax: (580) 338-0077

    Type: Location

  • 625 NE 19TH ST

    GUYMON, OK 739423033

    Phone: (806) 338-0336

    Type: Mailing

  • 1309 N EAST ST

    GUYMON, OK 739423333

    Phone: (580) 338-4638

    Fax: (580) 338-4642

    Type: Location

  • 3247 NE Highway 54

    Guymon, OK 739425143

    Phone: (580) 338-0072

    Fax: (580) 338-0077

    Type: Location

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 $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Acella Pharmaceuticals, LLC ($56).

Total Amount

$56

General + Research + Ownership

Payments

1

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-20

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: 2020-11-02

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
I20201102000186INurse PractitionerOKTBD

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
83036Hemoglobin a1c level1513$0
View full utilization report →

Insurance plans in this area (ZIP 73942)

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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: 5395647655View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicineOK
Hospitalist, Emergency Medicine, Family PracticeKS
Emergency MedicineOK
-TX
Family Practice, Emergency MedicineOK
-OK
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Emergency MedicineOK

Reviews

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Frequently asked questions

What federal number belongs to KIMBERLY KAY WADLEY (APRN, FNP-C)?
The federal identifier for KIMBERLY KAY WADLEY (APRN, FNP-C) is NPI 1538787668.
Is KIMBERLY KAY WADLEY (APRN, FNP-C) active in the national directory?
KIMBERLY KAY WADLEY (APRN, FNP-C)'s public NPI profile is in an active state.
What field does KIMBERLY KAY WADLEY (APRN, FNP-C) work in?
You can think of KIMBERLY KAY WADLEY (APRN, FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY KAY WADLEY (APRN, FNP-C)'s primary listing?
We display Guymon, Oklahoma because that is what the record indicates for KIMBERLY KAY WADLEY (APRN, FNP-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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