Individual provider Active NPI

Maria Antonia Villanueva, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1063183416
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80555-121 Issued in KS
Practice address
801 E Douglas Ave FL 2
Wichita, KS 67202-3548
Phone
(888) 731-8994
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 53-80555-121 KS Primary

Addresses

Primary practice location

801 E Douglas Ave FL 2
Wichita, KS 67202-3548

Mailing address

801 E Douglas Ave FL 2
Wichita, KS 67202-3548
Phone (620) 617-0712

Other practice location 1

1905 19th St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Other practice location 2

999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994

Other practice location 3

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80555-121KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Kansas Family Health Care, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Heart of Kansas Family Health Care, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700

Interoperability endpoints

  • Direct secure messaging: maria.villanueva.1@27069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1063183416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E DOUGLAS AVE FL 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023548",
            "telephone_number": "620-617-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DOUGLAS AVE FL 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023548",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 19th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675302502",
            "country_code": "US",
            "telephone_number": "620-792-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80555-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.