Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAYLA MARIE WIEDMANN
NPI 1457268633
Nurse Practitioner - Acute Care in Golden Valley, MN

Q: What is Kayla Wiedmann's NPI number?

The NPI number for Kayla Wiedmann is 1457268633. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Q: What is Kayla Wiedmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Wiedmann was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

Active since August 25, 2026PECOS Enrolled

820 LILAC DR N STE 140, GOLDEN VALLEY, MN 55422(763) 465-0500 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Kayla Marie Wiedmann NPPES

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

KAYLA MARIE WIEDMANN (NPI 1457268633) is an individual acute care provider in Golden Valley, Minnesota, licensed in Minnesota (14645) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457268633

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKAYLA MARIE WIEDMANN

Location Address820 LILAC DR N STE 140Golden Valley, MN 55422-4791

Mailing Address4954 Airlake DrSaint Paul, MN 55129-5730 · (651) 387-1914

Phone(763) 465-0500

Sole ProprietorNo

Enumeration DateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ NPI 1457268633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MN · 14645

820 LILAC DR N STE 140, Golden Valley, MN 55422

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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)

Kayla Marie Wiedmann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA JO GRAF DNP, FNP-BC

Nurse Practitioner (Family)