KANANI WASILK-KINDRED PMHNP-BC
NPI 1255105193
Nurse Practitioner - Psychiatric/Mental Health in Chandler, AZ
About Kanani Wasilk-kindred Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANANI WASILK-KINDRED PMHNP-BC (NPI 1255105193) is an individual psychiatric/mental health provider in Chandler, Arizona, licensed in Arizona (237594) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Kanani Wasilk-kindred Pmhnp-bc 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 Kanani Wasilk-kindred reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85251
- Reassigned Medicare billing, Arizona enrollment
- 5 clinicians in this Medicare group
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon enrollment
- 9 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 85225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kanani Wasilk-kindred's NPI number?
The NPI number for Kanani Wasilk-kindred is 1255105193. It was assigned to this individual provider in the NPPES registry on November 10, 2023.
Where is Kanani Wasilk-kindred located?
Kanani Wasilk-kindred practices at 875 W Pecos Rd Apt 2113, Chandler, AZ 85225. The listed phone number is (503) 545-7917.
What is Kanani Wasilk-kindred's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kanani Wasilk-kindred enrolled in Medicare?
Yes. Kanani Wasilk-kindred 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 Kanani Wasilk-kindred's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kanani Wasilk-kindred reassigns Medicare benefits to 2 organizations: Jjm Medical (Scottsdale, AZ) and Jacobs Mental Health Services (Clackamas, OR). 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 Kanani Wasilk-kindred's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kanani Wasilk-kindred accept?
Health plans from Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc. and UnitedHealthcare list Kanani Wasilk-kindred 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 Kanani Wasilk-kindred was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kanani Wasilk-Kindred, PMHNP-BC · NPI 1255105193
Psychiatric/Mental Health physician in Chandler, Arizona. Individual provider, active in the CMS NPPES registry since November 10, 2023.
## Identity
- **NPI:** 1255105193 (Entity type: Individual)
- **Enumerated:** November 10, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 237594 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 875 W PECOS RD APT 2113, Chandler, AZ 85225-7613
- **Phone:** (503) 545-7917
## 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): Jjm Medical (NPI 1033711312, Scottsdale, AZ); Jacobs Mental Health Services (NPI 1407573850, Clackamas, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255105193) · Data from the CMS NPPES public registry.