WENDY A WEIDNER – Certified Registered Nurse Anesthetist, NPI 1366488355

WENDY A WEIDNER is a healthcare provider. based in Kingsport, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 43210 (TN). The NPI Number for WENDY A WEIDNER is 1366488355

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
WENDY A WEIDNER
NPI
1366488355
Phone
(423) 408-7220
Address
105 W STONE DR
Enumeration Date
20 June 2006
Last Update Date
2 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4233900451
Graduation Year
1995 (31 years ago)
PAC ID
7618074238
Group Practice PAC ID
8921044744
Professional Enrollment ID
I20070516000270
Address ID
TN376207430BR1XXXXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for WENDY A WEIDNER

  • West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • Bristol Regional Medical Center, 1, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States

    BRISTOL, TN 376207430

    Phone: (423) 844-1121

    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: 2007-05-16

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
I20070516000270ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 37660)

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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: 8921044744View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

What number should I use to identify WENDY A WEIDNER for billing?
Administrative and clinical systems typically use NPI 1366488355 for WENDY A WEIDNER.
Is WENDY A WEIDNER's NPI status active today?
Active status means WENDY A WEIDNER's NPI record is not deactivated in the public file.
What does the directory say WENDY A WEIDNER does?
Insurance directories may phrase it differently, but here WENDY A WEIDNER maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to WENDY A WEIDNER?
The directory associates WENDY A WEIDNER with Kingsport, Tennessee. Check all listed addresses for suites or satellite offices.
Can I export WENDY A WEIDNER's record?
You can download the official NPPES record; we summarize key fields for readability.

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