DR. KAYLA MOCK WALDECKER APRN, CNM
NPI 1205496999
Advanced Practice Midwife in Minneapolis, MN
About Dr. Kayla Mock Waldecker Aprn, Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAYLA MOCK WALDECKER APRN, CNM (NPI 1205496999) is an individual advanced practice midwife in Minneapolis, Minnesota, licensed in Minnesota (545) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Kayla Mock Waldecker Aprn, Cnm 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 Reassignment
Medicare enrollment records show Kayla Waldecker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maplwood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Minnesota Womens Care PA
- 47 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Kayla Waldecker's NPI number?
The NPI number for Kayla Waldecker is 1205496999. It was assigned to this individual provider in the NPPES registry on June 16, 2019.
Where is Kayla Waldecker located?
Kayla Waldecker practices at 2606 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (612) 545-5311.
What is Kayla Waldecker's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Kayla Waldecker enrolled in Medicare?
Yes. Kayla Waldecker 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 organization bills Medicare for Kayla Waldecker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Waldecker reassigns Medicare benefits to Minnesota Women's Care, P.A. (Maplwood, MN). The 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 Kayla Waldecker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Waldecker accept?
Health plans from HealthPartners, Medica and Sanford Health Plan list Kayla Waldecker 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.
When was this NPI record last updated?
The NPPES record for Kayla Waldecker was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kayla Mock Waldecker, APRN, CNM · NPI 1205496999
Advanced Practice Midwife physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 16, 2019.
## Identity
- **NPI:** 1205496999 (Entity type: Individual)
- **Enumerated:** June 16, 2019
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 545 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2606 CHICAGO AVE, Minneapolis, MN 55407-3706
- **Phone:** (612) 545-5311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Minnesota Women's Care, P.A. (NPI 1518221779, Maplwood, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205496999) · Data from the CMS NPPES public registry.