Lori Waldera, C.N.M, F. N. P

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP3348 Issued in MN

Practice address

3 Century Ave
Hutchinson, MN 55350

Phone

(320) 587-2020

Fax

(320) 484-4686

NPI assigned

Oct 11, 2005

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

Other identifiers 1

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

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hutchinson Health Hospital, Hutchinson, MN, CCN 240187

Merit-based Incentive Payment System (MIPS)

Final score

89.16 of 100Reported as group

Quality

82.49

Promoting interoperability

100

Improvement activities

40

Cost

69.77

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Certified 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.

• Hutchinson Health

  • General Acute Care Hospital
  • Hutchinson, MN
  • NPI 1053508820
  Medicare reassignment Care Compare group NPD
• Hutchinson Medical Center PA

  • Non-Pharmacy Dispensing Site
  • Hutchinson, MN
  • NPI 1578604930
  NPD (past)

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

• Hutchinson Health

  • General Acute Care Hospital
  • Hutchinson, MN
  • NPI 1053508820
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1972591287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY AVE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55350",
            "telephone_number": "320-587-2020",
            "fax_number": "320-484-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY AVE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55350",
            "telephone_number": "320-587-2020",
            "fax_number": "320-484-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDERA",
        "first_name": "LORI",
        "credential": "C.N.M, F. N. P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP3348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262308100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Fay Vliet, LMFT
• Jadalyn Lane Wagner, OTD
• Kristi Wagner, COTA
• Wal-Mart Stores, Inc.
• Heather Dawn Walburg, MAC
• Walgreen Co
• Gordon Douglas Walker, M.D.
• Christopher R Wallyn, DO
• Walmart Inc.
• Rachel Wangen, DT

• Nurse Practitioner in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.