Sidney Jules Melugin

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

363LG0600X Issued in KS

Practice address

4700 W 13TH St N
Wichita, KS 67212-5575

Phone

(316) 202-3676

NPI assigned

May 25, 2023

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020

  Single Specialty

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS, Single Specialty

  Medicare reassignment Care Compare group NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS, Single Specialty

  Medicare reassignment Care Compare group NPD

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1063104057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125575",
            "telephone_number": "316-202-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125575",
            "telephone_number": "316-202-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELUGIN",
        "first_name": "SIDNEY",
        "middle_name": "JULES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "363LG0600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Theo Mellion, PH.D, M.D.
• Alexandra Meloccaro, MD
• Elizabeth Carole Melton-Mendoza, MD
• Michael Glenn Melton, ABOC
• Ashley Melugin, APRN
• Kathryn Melvin, LMSW
• Meme & Jlee Home Plus LLC (MJ Home Plus)
• Mend Physiotherapy LLC
• Goretti Mendez Vallejo, LMSW
• Leticia Mendez-Noriega, PHARMD

• Gerontology Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Gerontology Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.

Verify at the official NPI Registry.