KELLY ANN WALDVOGEL (NP) – Registered Nurse, NPI 1023668803
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for KELLY ANN WALDVOGEL (NP)
18, Thimbleberry Court, Wishbonebush, Grogan's Mill, The Woodlands, Montgomery County, Texas, 77380, United States
THE WOODLANDS, TX 773801543
Phone: (832) 434-0431
Type: Mailing
PO BOX 4439
HOUSTON, TX 772104439
Phone: (713) 792-2991
Type: Mailing
1515 HOLCOMBE BLVD
HOUSTON, TX 770304000
Phone: (713) 792-6161
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,014.
Total Amount is formed as General ($1,014) + Research ($0) + Ownership ($0) = $1,014.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Gilead Sciences, Inc. ($591).
Total Amount
$1,014
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,014
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $591 |
| AstraZeneca Pharmaceuticals LP | $317 |
| Stemline Therapeutics Inc. | $107 |
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: 2020-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200420002930 | I | Nurse Practitioner | TX | TBD |
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.
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 77380)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TN | |
| Physician Assistant | OK | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | - | |
| - | TX |
Reviews
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