Organization Active NPI

M-Care Healthcare LLC

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1013421353
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
M-CARE HEALTHCARE LLC
Practice address
731 N McLean Blvd Ste 100
Wichita, KS 67203-4935
Phone
(316) 461-0339
Fax
(316) 221-1000
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mr. Vincent O Mogoi, NP
Title
Sole Owner
Phone
(316) 519-1543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

731 N McLean Blvd Ste 100
Wichita, KS 67203-4935

Mailing address

731 N McLean Blvd Ste 100
Wichita, KS 67203-4935
Phone (316) 461-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425000979 KS Part B Supplier - Clinic/Group Practice 4880958974 Receives reassigned benefits from 5 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2223861M-Care Healthcare731 N McLean Blvd, Suite 100, Wichita, KS 67203Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

7130 W Maple St
Ste 230
Wichita, KS 67209
Phone (316) 461-0339

731 N McLean Blvd
Wichita, KS 67203
Phone (316) 461-0339

731 N McLean Blvd
Ste 100
Wichita, KS 67203
Phone (316) 461-0339

7130 W Maple St
Ste 230143
Wichita, KS 67209
Phone (316) 461-0339

941 W 27th St S
Wichita, KS 67217
Phone (316) 461-0339

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1013421353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N MCLEAN BLVD STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034935",
            "telephone_number": "316-461-0339",
            "fax_number": "316-221-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N MCLEAN BLVD STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034935",
            "telephone_number": "316-461-0339",
            "fax_number": "316-221-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-CARE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MOGOI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "316-519-1543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.