HEIDE WAKEFIELD-THORNE – Family Nurse Practitioner, NPI 1669888335

Family Nurse Practitioner

HEIDE WAKEFIELD-THORNE is a healthcare provider. based in Burlington, Wisconsin. specializing in Family Nurse Practitioner. They hold a License No. 5775-33 (WI). The NPI Number for HEIDE WAKEFIELD-THORNE is 1669888335

Main info

Female

Sole Proprietor

13 Years Of Experience

Accepts Medicare Assignment

Name

HEIDE WAKEFIELD-THORNE

NPI

1669888335

Phone

(262) 945-3050

Address

37007 65TH CT

Enumeration Date

2 July 2014

Last Update Date

2 July 2014

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2629250535

Graduation Year

2013 (13 years ago)

PAC ID

0446479638

Group Practice PAC ID

6204007883

Professional Enrollment ID

I20140922000570

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for HEIDE WAKEFIELD-THORNE

37007 65TH CT
BURLINGTON, WI 531058554
Phone: (262) 945-3050
Mailing address matches the actual address.

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: 2014-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (985 days ago).

Enrollment records

Earliest due date

2023-09-30

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
I20140922000570	I	Nurse Practitioner	WI	2023-09-30

What to do next

Verify current status on the CMS Revalidation Lookup Tool immediately.
Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 53105)

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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: 6204007883View full group profile