Kati Wijdenes, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP8449 Issued in AZ

Practice address

1530 E Williams Field Rd Ste 201-9
Gilbert, AZ 85295-1823

Phone

(480) 418-0184

Fax

(480) 602-5656

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SBH-Davenport LLCGroup PAC ID 1759702756, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• SBH-Davenport, LLC

  dba Eagle View Behavioral Health

  • Adult Mental Health Clinic/Center
  • Bettendorf, IA
  • NPI 1023817475
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901
  Medicare reassignment NPD
• Medpsych Inc. PC

  • Specialist
  • Kingsport, TN
  • NPI 1962828137

  IA

  Medicare reassignment NPD
• Mental Squirrel PLLC

  dba Madix Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1801614086
  NPD Authorized official
• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  NPD
• SBH-Davenport, LLC

  dba Eagle View Behavioral Health

  • Psychiatric Hospital
  • Bettendorf, IA
  • NPI 1831720556
  NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1295181071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD # 201-9",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951823",
            "telephone_number": "480-418-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 201-9",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951823",
            "telephone_number": "480-418-0184",
            "fax_number": "480-602-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Court Ave Ste 820",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092282",
            "country_code": "US",
            "telephone_number": "480-418-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIJDENES",
        "first_name": "KATI",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8449",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G175516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Wiens, LMSW
• Sierra C Wiese, SLPA
• Ariel Kaye Wiesner, SLPA
• Cheryl A Wieweck, NNP
• Colleen R Wight, PA-C
• Eliza Evelyn Wilbur, MS, CCC-SLP
• Gina Del Wilcken, COTA/L
• Grace Wilcock, LPN, CLC
• Carson Reed Wilde, DC
• Seth D Wilde, DC

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.