WENDY R KUDRITZKI (PA-C) – Physician Assistant, NPI 1114959400

WENDY R KUDRITZKI (PA-C) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60183108 (WA). The NPI Number for WENDY R KUDRITZKI (PA-C) is 1114959400

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
WENDY R KUDRITZKI (PA-C)
NPI
1114959400
Phone
(603) 490-4206
Address
5300 TALLMAN AVE NW
Enumeration Date
7 July 2006
Last Update Date
5 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2067822700
Graduation Year
2005 (21 years ago)
PAC ID
2961412416
Group Practice PAC ID
1052209368
Professional Enrollment ID
I20101101000888
Address ID
WA981073932SE5300XNWXX400
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

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for WENDY R KUDRITZKI (PA-C)

  • Swedish Medical Center Ballard Campus, 5300, Tallman Avenue Northwest, Ballard, Seattle, King County, Washington, 98107, United States

    SEATTLE, WA 981073932

    Phone: (603) 490-4206

    Type: Location

  • 3419, Northwest 65th Street, Sunset Hill, Ballard, Seattle, King County, Washington, 98117, United States

    SEATTLE, WA 981176018

    Phone: (603) 490-4206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($185).

Total Amount

$244

General + Research + Ownership

Payments

5

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

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: 2010-11-01

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
I20101101000888IPhysician AssistantWATBD

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
99284Emergency department visit with moderate level of medical decision making3232$0
99285Emergency department visit with high level of medical decision making3131$0
View full utilization report →

Insurance plans in this area (ZIP 98107)

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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: 1052209368View full group profile
NameSpecialtyState
Emergency MedicineNY
Physician AssistantMI
Emergency MedicineWA
-WA
Emergency MedicineWA
-WA
Emergency MedicineWA

Reviews

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Frequently asked questions

What is WENDY R KUDRITZKI (PA-C)'s NPI number?
WENDY R KUDRITZKI (PA-C)'s NPI is 1114959400 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to WENDY R KUDRITZKI (PA-C)?
You should see WENDY R KUDRITZKI (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to WENDY R KUDRITZKI (PA-C)?
WENDY R KUDRITZKI (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with WENDY R KUDRITZKI (PA-C)?
Directory geography for WENDY R KUDRITZKI (PA-C) centers on Seattle, Washington.
When was this NPI issued?
Enumeration for WENDY R KUDRITZKI (PA-C) is noted as July 7, 2006 where the registry provides it.

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