KRISTINA LYNN WADLEY FNP-C
NPI 1124741715
Nurse Practitioner - Primary Care in Kennett, MO
About Kristina Lynn Wadley Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA LYNN WADLEY FNP-C (NPI 1124741715) is an individual primary care provider in Kennett, Missouri, licensed in Missouri (2022036717) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Stoddard, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristina Lynn Wadley Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kristina Wadley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennett, MO 63857
- Reassigned Medicare billing, Missouri enrollment
- 116 clinicians in this Medicare group
Kennett, MO 63857
- Reassigned Medicare billing, Missouri enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Stoddard
Acute Care Hospitals · Dexter, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristina Wadley's NPI number?
The NPI number for Kristina Wadley is 1124741715. It was assigned to this individual provider in the NPPES registry on September 20, 2022.
Where is Kristina Wadley located?
Kristina Wadley practices at 304 Teaco Rd, Kennett, MO 63857. The listed phone number is (573) 559-3591.
What is Kristina Wadley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kristina Wadley enrolled in Medicare?
Yes. Kristina Wadley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristina Wadley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Wadley reassigns Medicare benefits to 2 organizations: Mcpherson Medical & Diagnostic, LLC (Kennett, MO) and Southeast Missouri Health Network (Kennett, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Wadley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Wadley accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 7 other insurers list Kristina Wadley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kristina Wadley affiliated with any hospitals?
According to CMS data, Kristina Wadley is affiliated with Mercy Hospital Stoddard.
When was this NPI record last updated?
The NPPES record for Kristina Wadley was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kristina Lynn Wadley, FNP-C · NPI 1124741715
Primary Care physician in Kennett, Missouri. Individual provider, active in the CMS NPPES registry since September 20, 2022.
## Identity
- **NPI:** 1124741715 (Entity type: Individual)
- **Enumerated:** September 20, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 2022036717 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 304 TEACO RD, Kennett, MO 63857-3266
- **Phone:** (573) 559-3591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mcpherson Medical & Diagnostic, LLC (NPI 1124679774, Kennett, MO); Southeast Missouri Health Network (NPI 1710108766, Kennett, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 20, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1124741715) · Data from the CMS NPPES public registry.