Active NPI
Christy Marie Tennissen, APRN
- Nurse Practitioner
- Wichita, KS
National Provider Identifier
1063801157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 76648
- Practice address
- 2950 S All Hallows St
Wichita, KS 67217-1053 - Phone
- (316) 323-1400
- Fax
- (833) 974-3860
- NPI assigned
- Jan 13, 2015
- Last updated
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 76648 | KS | Primary |
| Family Nurse Practitioner | 363LF0000X | 85300 | KS |
Addresses
Primary practice location
2950 S All Hallows St
Wichita, KS 67217-1053
Mailing address
2950 S All Hallows St
Wichita, KS 67217-1053
Phone (316) 323-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201108420A | Medicaid | KS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
2950 S All Hallows St
Wichita, KS 67217-1053
Phone (316) 323-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76648 | KS | MD | Nurse Practitioner |
| 85300 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Psychiatric Services, LLC | Current | Accepting new patients | |
| Kansas Mobile Healthcare LLC | Current | Accepting new patients | |
| Mobile Medical II, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients |
Locations
2950 S All Hallows St
Wichita, KS 67217
Phone (316) 323-1400
345 N Riverview St
Ste 412
Wichita, KS 67203
Phone (316) 223-4466
345 N Riverview St
Ste 500
Wichita, KS 67203
Phone (316) 616-1055
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- christy.tennissen.1@33400.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Douglass, KS
- NPI 1215749189
-
- Family Medicine Physician
- Wichita, KS
- NPI 1588409627
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1780261701
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
- NPI 1134758683
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Interim Health Care
- Home Health Agency
- Wichita, KS
- NPI 1548264229
-
- Home Health Agency
- Wichita, KS
- NPI 1962977017
-
- Home Health Agency
- Wichita, KS
- NPI 1962827170
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1063801157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 S ALL HALLOWS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672171053",
"telephone_number": "316-323-1400",
"fax_number": "833-974-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ALL HALLOWS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672171053",
"telephone_number": "316-323-1400",
"fax_number": "833-974-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNISSEN",
"first_name": "CHRISTY",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "76648",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "85300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201108420A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.