Kaidi Wang, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4017280 Issued in KY

Practice address

11717 Trottingham Cir
Louisville, KY 40299-3538

Phone

(602) 881-4363

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

Yes

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 KY

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Observational Medicine Associates PSCGroup PAC ID 2860890704, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Louisville Observational Medicine Associates PSC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1356018519
  Medicare reassignment Care Compare group NPD
• Louisville Emergency Medicine Associates PSC

  dba Louisville Emergency Medicine Associates

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1487604641
  Medicare reassignment NPD

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

• Baptist Healthcare System Inc.

  dba Baptist Health Louisville

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1265539498
  Care Compare affiliation

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1316706922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 TROTTINGHAM CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993538",
            "telephone_number": "602-881-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 TROTTINGHAM CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993538",
            "telephone_number": "602-881-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAIDI",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "4017280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wang
• Anthony Wang
• Chenxi Wang, MD, PHD
• Emilia Wang
• Heping Wang, C.AC
• Wei Wang, M.D.
• Wesley Wang, MD, PHD
• Xiaoli Wang, M.D.
• Zeng Yu Wang, M.D.
• Ziqi Wang, MD

• Acute Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.