Kevin D. Waldo Sr.

NP | Nurse Practitioner | 4+ years Exp

1355 Mariners Dr, Warsaw
  Indiana, 46582-7145
260-266-5230
Accepts Medicare Nurse Anesthetist in Warsaw, Indiana.
Kevin D. Waldo Sr. is a Warsaw, Indiana based nurse practitioner with 4 years of experience in . He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin D. Waldo Sr. is 71011479A in Indiana. His current practice location is 1355 Mariners Dr, Warsaw. Patients can reach him at 260-266-5230 or can fax him at 260-266-5219. Kevin D. Waldo Sr. is NP and his NPI number (Unique professional ID assigned by NPPES) is 1356018543.
Kevin D. Waldo Sr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kevin D. Waldo Sr. speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kevin D. Waldo Sr.
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2021
Accepts Medicare Assignment:Yes
Practice Address:1355 Mariners Dr, Warsaw,
Indiana, 46582-7145
Phone:260-266-5230
Fax:260-266-5219
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0840697181
Enrollment ID: I20210929000840
NPI Number: 1356018543
NPI Enumeration Date: 25 Aug, 2021
NPI Last Update On: 02 Sep, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin D. Waldo Sr. are as mentioned below.
License NumberSpecializationStateStatus
71011479A IndianaPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(150017)Fort wayne, INAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kevin D. Waldo Sr. is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Lutheran Medical Group Llc (4981751617)254
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kevin D. Waldo Sr.
11109 Parkview Plaza Dr # 117,
Fort Wayne, Indiana
Zip: 46845-1701
Patients can reach Kevin D. Waldo Sr. at 1355 Mariners Dr, Warsaw, Indiana or can call to book an appointment on 260-266-5230.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.