| Dr Kati Wijdenes, DNP | |
|
1530 E Williams Field Rd Ste 201-9, Gilbert, AZ 85295-1823 | |
| (480) 418-0184 | |
| (480) 602-5656 |
| Full Name | Dr Kati Wijdenes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1530 E Williams Field Rd Ste 201-9, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295181071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G175516 (Iowa) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP8449 (Arizona) | Primary |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Entity Name | Sbh-davenport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023817475 PECOS PAC ID: 1759702756 Enrollment ID: O20210107001935 |
| Entity Name | Medpsych Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962828137 PECOS PAC ID: 2264655877 Enrollment ID: O20240516003103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kati Wijdenes, DNP 2747 E University Dr Unit 31505, Mesa, AZ 85275-0270 Ph: () - | Dr Kati Wijdenes, DNP 1530 E Williams Field Rd Ste 201-9, Gilbert, AZ 85295-1823 Ph: (480) 418-0184 |
Perla Quinones, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1166 E Warner Rd Ste 206, Gilbert, AZ 85296 Phone: 480-331-2201 Fax: 480-800-4944 | |
Kimberly Michelle Flake, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 S Roles Dr, Gilbert, AZ 85296 Phone: 480-216-1837 | |
Monica Hulsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 471 N 159th Pl, Gilbert, AZ 85234 Phone: 602-505-7984 | |
Kimberly Bell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 S Val Vista Dr Ste 214, Gilbert, AZ 85297 Phone: 480-718-9960 | |
Jenny Littrell, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095 | |
Ms. Kasey Alyse Huey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095 | |
Mrs. Randi Nicole Keesee, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3160 E Queen Creek Rd, Gilbert, AZ 85297 Phone: 480-827-5790 |