KAITLIN NICOLE WALSH (AU.D.) – Audiologist, NPI 1366042509

KAITLIN NICOLE WALSH (AU.D.) is a healthcare provider. based in Madison, Wisconsin. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 716156 (WI). The NPI Number for KAITLIN NICOLE WALSH (AU.D.) is 1366042509

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN NICOLE WALSH (AU.D.)
NPI
1366042509
Phone
(608) 833-8484
Address
598 GRAND CANYON DR
Enumeration Date
27 October 2020
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208855225
Graduation Year
2020 (6 years ago)
PAC ID
5991222044
Group Practice PAC ID
0244428340
Professional Enrollment ID
I20250512002513
Address ID
WI539162132BE120XXAVEX301
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

218 QUALIFIED AUDIOLOGIST in WI

Provider Addresses for KAITLIN NICOLE WALSH (AU.D.)

  • 598 GRAND CANYON DR

    MADISON, WI 537191033

    Phone: (608) 833-8484

    Type: Location

  • 7432 Mineral Point Rd

    Madison, WI 537171710

    Phone: (608) 833-8484

    Type: Location

  • 120 PARK AVE STE 1

    BEAVER DAM, WI 539162132

    Phone: (920) 885-5225

    Fax: (920) 356-6419

    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: 2025-05-12

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
I20250512002513IQualified AudiologistWITBD

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 53719)

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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: 0244428340View full group profile
NameSpecialtyState
Nurse PractitionerWI
-IL
Osteopathic Manipulative Medicine, Sleep Medicine, Otolaryngology, Sleep MedicineWI
Physician AssistantWI

Reviews

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Frequently asked questions

Where can patients find KAITLIN NICOLE WALSH (AU.D.)'s NPI?
You can confirm KAITLIN NICOLE WALSH (AU.D.) with NPI 1366042509; it appears in the national provider directory.
Is KAITLIN NICOLE WALSH (AU.D.) active in the national directory?
KAITLIN NICOLE WALSH (AU.D.)'s public NPI profile is in an active state.
Does KAITLIN NICOLE WALSH (AU.D.) list a primary specialty?
If you are matching referrals, note Audiologist for KAITLIN NICOLE WALSH (AU.D.). Clinical services aligned with this taxonomy classification.
What location shows for KAITLIN NICOLE WALSH (AU.D.)?
We surface Madison, Wisconsin for KAITLIN NICOLE WALSH (AU.D.) based on available NPPES addresses.
What if Madison, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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