Individual provider Active NPI

Sarah E Wilson, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1013296805
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75399 Issued in KS
Practice address
2778 N Webb Rd
Wichita, KS 67226-8112
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75399 KS Primary

Addresses

Primary practice location

2778 N Webb Rd
Wichita, KS 67226-8112

Mailing address

2778 N Webb Rd
Wichita, KS 67226-8112
Phone (316) 631-1600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006000906 KS Practitioner - Nurse Practitioner 6406076918 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
75399KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC CurrentSince Aug 1, 2015 Accepting new patients
Cep America - Kansas LLC CurrentSince Aug 1, 2015 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1013296805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.