Individual provider Active NPI

Kaitlyn Elise Vaske-Wright, NP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1164877742
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5392 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114
Phone
(651) 698-2406
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209014136041382865 IL
Women's Health Nurse Practitioner 363LW0102X 5392 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114

Mailing address

671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406

Other practice location 1

3051 E New York St
Aurora, IL 60504-5160
Phone (630) 585-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225000703 MN Practitioner - Nurse Practitioner 4789099748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Tree IncGroup PAC ID 5799681615, 7 clinicians

Practice addresses (Care Compare)

1919 Nicollet Ave
Minneapolis, MN 55403-3747
Phone (612) 473-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5392MNMDChiropractor
209014136041382865ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Tree Inc CurrentSince Nov 15, 2023 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients

Locations

1919 Nicollet Ave
Minneapolis, MN 55403
Phone (612) 445-0225

Interoperability endpoints

  • Direct secure messaging: kaitlyn.vaskewright.p1@direct.familytreeclinic.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1164877742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-698-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-698-2406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 E New York St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605045160",
            "country_code": "US",
            "telephone_number": "630-585-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASKE-WRIGHT",
        "first_name": "KAITLYN",
        "middle_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209014136041382865",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.