Individual provider Active NPI

Grace Madalyn Wiebe King, APRN

  • Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1043881014
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80345-101 Issued in KS
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001745 KS Practitioner - Nurse Practitioner 8921401316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-80345-101KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Heartland Radiation Oncology Current Accepting new patients
Hutchinson Clinic, P.a., Inc. CurrentSince Jul 21, 2021 Accepting new patients
Hutchinson Clinic, PA, Inc. CurrentSince Jul 21, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.