Madelanna Gutierrez, APRN
Individual provider Active NPI Family Nurse Practitioner · Wichita, KS
NPI 1023660909 · NPPES record last updated Jul 11, 2019
Key facts
- NPI
- 1023660909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 78866 (KS)
- Practice address
- 929 N St Francis St
Wichita, KS 67214-3821 - Phone
- (316) 268-5000
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wesley Physicians Medical Specialties LLC
Practice addresses (Care Compare)
550 N Hillside St
Wesley Picu
Wichita, KS 67214-4910
Phone (316) 962-2156
Hospital & facility affiliations
- Wesley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726002620 | KS | Practitioner - Nurse Practitioner | 7911233010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78866 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Physicians Medical Specialties LLC | Current |
Accepting new patients | |
| Via Christi Hospitals Wichita, Inc. | Past | Accepting new patients |
Locations
2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 78866 | KS | Yes |
Addresses
Primary practice location
929 N St Francis St
Wichita, KS 67214-3821
Mailing address
5301 N Charles St
Wichita, KS 67204-2520
Phone (316) 518-2877
Other providers in Wichita, KS
- Diana Guthrie
- Robert Kelly Guthrie
- Jennifer Gutierrez
- Joe Gutierrez
- Jose F Gutierrez
- Sarra Eilene Gutknecht
- David Anthony Gutschenritter
- Kelly Guzman
- Saul Antonio Guzman
- Stacey Guzman
All providers in Wichita, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.