Kaitlyn Waldner

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

101 7TH St SW
Orange City, IA 51041-1996

Phone

(712) 707-7000

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Canby Medical Center Hospital, Canby, MN, CCN 241347

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Sanford Health Network

  dba Sanford Canby Medical Center

  • Critical Access Hospital
  • Canby, MN
  • NPI 1780781054
  Medicare reassignment Care Compare group NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875

  Physician Assistant

  Medicare reassignment NPD (past)
• Sanford Health Network

  dba Sanford Clinic Canby

  • Rural Health Clinic/Center
  • Canby, MN
  • NPI 1437243607
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sanford Health Network

  dba Sanford Canby Medical Center

  • Critical Access Hospital
  • Canby, MN
  • NPI 1780781054
  Care Compare affiliation

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1205696416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411996",
            "telephone_number": "712-707-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Vander Stelt, LAT, ATC
• Kristina Lynn Vander Stelt
• Brandon Lee Vander Stoep, MD
• Micah Vander Wiel
• Alison Vlieger, OTR/L
• Shelby Rose Walinga
• John C Weber, M.D.
• Nicole Wede, MSN, RN
• Stacy Wernimont-Diehl
• Amy Lyn Weyer

• Physician Assistant in Orange City, IA
• Providers in Orange City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.