KENDALL WYLLIE MD
NPI 1922486984
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Tucson, AZ

Q: What is Kendall Wyllie's NPI number?

The NPI number for Kendall Wyllie is 1922486984. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Kendall Wyllie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Wyllie was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 11, 2015PECOS Enrolled

3838 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-8888 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kendall Wyllie Md NPPES

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

KENDALL WYLLIE MD (NPI 1922486984) is an individual neurology with special qualifications in child neurology provider in Tucson, Arizona, licensed in Arizona (64200) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1922486984

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameKENDALL WYLLIECredential: MD

Location Address3838 N CAMPBELL AVETucson, AZ 85719-1454

Mailing Address3838 N Campbell AveTucson, AZ 85719-1454

Phone(520) 694-8888

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateSeptember 23, 2021

NPPES CertifiedSeptember 23, 2021

✔ NPI 1922486984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in AZ · 64200

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3838 N CAMPBELL AVE, Tucson, AZ 85719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Wyllie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709201361

PECOS Enrollment IDI20210917002801

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.

Medicare Billing Reassignments

Medicare enrollment records show Kendall Wyllie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Clinics For Rehabilitative Services

3.8 mi

Multi-Specialty

2600 N WYATT DR
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
138 clinicians in this Medicare group

NPI 1063454346 (520) 324-5437

Banner-University Medical Group

5.2 mi

Nutrition, Education

6261 N LA CHOLLA BLVD STE 131
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1639842677 (520) 694-5437

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 85719 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. AMY KLEIN MD

Internal Medicine (Hospice and Palliative Medicine)