Active NPI
Grace Madalyn Wiebe King, APRN
- Nurse Practitioner
- Hutchinson, KS
National Provider Identifier
1043881014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-80345-101
- Practice address
- 2101 N Waldron St
Hutchinson, KS 67502-1197 - Phone
- (620) 669-2500
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-80345-101 | KS | Primary |
Addresses
Primary practice location
2101 N Waldron St
Hutchinson, KS 67502-1197
Mailing address
2101 N Waldron St
Hutchinson, KS 67502-1131
Phone (206) 692-5006
Other practice location 1
1701 E 23rd Ave
Hutchinson, KS 67502-9907
Phone (620) 665-2000
Other names 1
- Grace Madalyn Wiebe Cody
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gracecody@hcpa.allscriptsdirect.net | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80345-101 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Heartland Radiation Oncology | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, PA, Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a. Inc. | Current | Accepting new patients |
Locations
2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
Interoperability endpoints
- graceking@hcpa.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Hutchinson, KS
- NPI 1043298474
-
- Radiation Oncology Physician
- Hutchinson, KS
- NPI 1275512535
-
- Rural Health Clinic/Center
- Hutchinson, KS
- NPI 1902871940
-
- Ambulatory Surgical Clinic/Center
- Hutchinson, KS
- NPI 1386619682
-
- Clinical Medical Laboratory
- Hutchinson, KS
- NPI 1962477356
-
- Health Educator
- Hutchinson, KS
- NPI 1821639774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1043881014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021131",
"telephone_number": "206-692-5006",
"fax_number": "620-694-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021197",
"telephone_number": "620-669-2500"
}
],
"practiceLocations": [
{
"address_1": "1701 E 23rd Ave",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675029907",
"country_code": "US",
"telephone_number": "620-665-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "GRACE",
"middle_name": "MADALYN WIEBE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2022-03-29",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-80345-101",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gracecody@hcpa.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Hutchinson Clinic, PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2101 N Waldron St",
"city": "Hutchinson",
"state": "KS",
"country_code": "US",
"postal_code": "675021197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GRACE",
"last_name": "CODY",
"middle_name": "MADALYN WIEBE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.