Active NPI
Lindsay L Forrester, APRN
- Family Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 76123
- Practice address
- 4722 W Kellogg Dr
Wichita, KS 67209-2508 - Phone
- (316) 440-2565
- Fax
- (316) 440-2750
- NPI assigned
- Nov 1, 2013
- Last updated
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 76123 | KS | Primary |
Addresses
Primary practice location
4722 W Kellogg Dr
Wichita, KS 67209-2508
Mailing address
4722 W Kellogg Dr
Wichita, KS 67209-2508
Phone (316) 440-2565
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@imcwichita.com | ||
| Direct Messaging Address | billing@imcwichita.com | ||
| Direct Messaging Address | billing@imcwichita.com | ||
| Direct Messaging Address | billing@imcwichita.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
928 N 3Rd St
Fredonia, KS 66736-2166
Phone (620) 288-1030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Associates, LLC | Family | Current | Accepting new patients |
| Fredonia Regional Hospital | Current | Accepting new patients | |
| Fredonia Regional Hospital | Current | Accepting new patients |
Locations
1525 Madison St
Ste 2
Fredonia, KS 66736
Phone (620) 378-2068
1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121
928 N 3rd St
Fredonia, KS 66736
Phone (620) 288-1030
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Fredonia, KS
- NPI 1194451526
-
- Critical Access Hospital
- Fredonia, KS
- NPI 1285634006
-
dba Drs. Morris and Hill Medical Clinic
- Rural Health Clinic/Center
- Fredonia, KS
- NPI 1639957673
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fredonia, KS
- NPI 1285634006
-
- Critical Access Hospital
- Neodesha, KS
- NPI 1669441176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1023447984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 W KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092508",
"telephone_number": "316-440-2565",
"fax_number": "316-440-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 W KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092508",
"telephone_number": "316-440-2565",
"fax_number": "316-440-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "LINDSAY",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "76123",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@imcwichita.com",
"affiliation": "N",
"address_1": "4722 W Kellogg Dr",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672092508",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@imcwichita.com",
"affiliation": "N",
"address_1": "5838 E Central Ave",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672084203",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@imcwichita.com",
"affiliation": "N",
"address_1": "7030 S Broadway Ave",
"city": "Haysville",
"state": "KS",
"country_code": "US",
"postal_code": "670601471",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@imcwichita.com",
"affiliation": "N",
"address_1": "3560 N Maize Rd Ste 106",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672057393",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.