Doctor profile · Federal record
Dr. Kailyn Wiersma
Pediatrics Physician · Pediatrics Physician · Pediatrics Physician · Meridian, ID
- NPI 1508393976
- 9 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1620 S Celebration Ave
Meridian, ID 836422779
(208) 884-1030 - Additional location
-
1500 E Medical Center Dr Spc 5718
Ann Arbor, MI 481095718
(734) 763-5589
fax (734) 763-4208 - Additional location
-
200 Arnet St
Ypsilanti, MI 481985753
(734) 484-7288 - Mailing address
-
190 E Bannock St
Boise, ID 837126241
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- April 14, 2022
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (3)
- Idaho #M-16194 · Michigan #4301501833 · Michigan #4301112092
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508393976. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$9
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 1 | $9.17 |
By nature of payment
Frequently asked questions
What is Dr. Kailyn Wiersma's medical specialty?
Dr. Kailyn Wiersma practices Pediatrics Physician in Meridian, ID.
Where does Dr. Kailyn Wiersma practice?
Dr. Kailyn Wiersma practices at 1620 S Celebration Ave, Meridian, ID 836422779. Office phone: 2088841030.
What is Dr. Kailyn Wiersma's NPI?
Dr. Kailyn Wiersma's National Provider Identifier (NPI) is 1508393976, issued by NPPES.