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KYLIE SHEA WERTZ
NPI 1093552135
Student in an Organized Health Care Education/Training Program in Bloomington, IN

Active since July 15, 2024PECOS Enrolled
1241 W CHURCH LN APT A, BLOOMINGTON, IN 47403(812) 264-2222 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Kylie Shea Wertz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE SHEA WERTZ (NPI 1093552135) is an individual student in an organized health care education/training program in Bloomington, Indiana and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093552135
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLIE SHEA WERTZ
Location Address1241 W CHURCH LN APT ABloomington, IN 47403-8880
Mailing Address1241 W Church Ln Apt ABloomington, IN 47403-8880 · (812) 264-2222
Phone(812) 264-2222
Sole ProprietorNo
Enumeration DateJuly 15, 2024
Last NPPES UpdateDecember 8, 20242 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1093552135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1241 W CHURCH LN APT A, Bloomington, IN 47403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Shea Wertz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Wertz's NPI number?

The NPI number for Kylie Wertz is 1093552135. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Kylie Wertz located?

Kylie Wertz practices at 1241 W Church Ln Apt A, Bloomington, IN 47403. The listed phone number is (812) 264-2222.

What is Kylie Wertz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kylie Wertz enrolled in Medicare?

Yes. Kylie Wertz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Wertz was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.