Kendra D Waldner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP002665 Issued in SD

Practice address

105 S State St
Aberdeen, SD 57401-4501

Phone

(605) 225-0378

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

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 SD, ND2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Benedictine Home Health Home health agency, Wahpeton, ND, CCN 357059
• Hia Hospice Hospice, Fargo, ND, CCN 351500
• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendra.waldner@avera.sdhealthlink.net

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.

• Avera St Lukes

  dba Avera Clinic of Ellendale

  • Rural Health Clinic/Center
  • Ellendale, ND
  • NPI 1760423057
  Medicare reassignment Care Compare group NPD
• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment NPD
• Avera St. Luke's

  dba Avera Medical Group Selby

  • Family Medicine Physician
  • Selby, SD
  • NPI 1154346625
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD

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

• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation
• Benedictine Living Communities, Inc.

  dba Benedictine Home Health

  • Home Health Agency
  • Wahpeton, ND
  • NPI 1770552820
  Care Compare affiliation
• Hospice of the Red River Valley

  dba HIA Hospice

  • Community Based Hospice Care Agency
  • Fargo, ND
  • NPI 1538253646
  Care Compare affiliation

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1770299406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 16TH AVE SW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015633",
            "telephone_number": "605-216-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S STATE ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014501",
            "telephone_number": "605-225-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "KENDRA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Wachs, MD
• Marilyn Marie Wachs, BSMT, CFCP
• Traci Wager
• Valerie Ann Wagner, FNP-C
• Wal-Mart Stores, Inc. (Vision Center 30-1520)
• Walk With Me ABA, LLC
• Walmart Inc. (Walmart Pharmacy 10-1520)
• Erin N Walth
• Valere Jean Walton
• Bo Wang, MD, PHD

• Family Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.