Individual provider Active NPI

Lindsay L Forrester, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1023447984
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76123 Issued in KS
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140221000317 KS Practitioner - Nurse Practitioner 6305076274 Reassigns benefits to 2 organizations

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
Advanced Healthcare Associates, LLCGroup PAC ID 0547646614, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Advanced Healthcare Associates, LLC Family CurrentSince Oct 8, 2022 Accepting new patients
Fredonia Regional Hospital CurrentSince Feb 1, 2022 Accepting new patients
Fredonia Regional Hospital CurrentSince Feb 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.