Active NPI
Kristen Leeann Wahlen
- Surgery Physician
- Carson City, NV
National Provider Identifier
1790244606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DO4020
- Practice address
- 704 W Nye LN
Carson City, NV 89703-1576 - Phone
- (901) 831-5701
- Fax
- (901) 831-5701
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DO4020 | NV | Primary |
Addresses
Primary practice location
704 W Nye LN
Carson City, NV 89703-1576
Mailing address
3497 Alpine View CT
Carson City, NV 89705-7007
Phone (901) 831-5701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwahlen292269@student.wmcarey.edu | William Carey University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- William Carey University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2874 N Carson St
Suite 120
Carson City, NV 89706-1681
Phone (775) 445-5181
Hospital & facility affiliations
- Carson Tahoe Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4020 | NV | MD | Surgery Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1790244606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3497 ALPINE VIEW CT",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897057007",
"telephone_number": "901-831-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W NYE LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897031576",
"telephone_number": "901-831-5701",
"fax_number": "901-831-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLEN",
"first_name": "KRISTEN",
"middle_name": "LEEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "DO4020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwahlen292269@student.wmcarey.edu",
"affiliation": "Y",
"affiliationName": "William Carey University",
"address_1": "710 William Carey Pkwy",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.