Individual provider Active NPI

Starlet Kerner, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1013136803
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-32860 Issued in KS
Practice address
7011 W Central Ave Ste 125
Wichita, KS 67212-3386
Phone
(316) 252-8900
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-32860 KS Primary

Addresses

Primary practice location

7011 W Central Ave Ste 125
Wichita, KS 67212-3386

Mailing address

2220 N McLean Blvd
Wichita, KS 67204-5335
Phone (316) 210-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000452 KS Practitioner - Family Practice 1759471915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-32860KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Aug 31, 2014 Accepting new patients

Locations

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1013136803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N MCLEAN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045335",
            "telephone_number": "316-210-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W CENTRAL AVE STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123386",
            "telephone_number": "316-252-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNER",
        "first_name": "STARLET",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-32860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.