Individual provider Active NPI

Brianna C Lee, DNP, FNP-C, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1073348595
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
83536 Issued in KS
Practice address
3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223
Phone
(316) 272-0800
Fax
(316) 272-0600
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 83536 KS Primary

Addresses

Primary practice location

3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223

Mailing address

PO Box 2470
Hutchinson, KS 67504-2470
Phone (316) 272-0800

Other practice location 1

6432 E 34th St N Ste 100
Wichita, KS 67226-2537
Phone (316) 260-8700

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
I20241104003033 KS Practitioner - Nurse Practitioner 1557894102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Mental Health Counseling Center, IncGroup PAC ID 3375437973, 27 clinicians

Practice addresses (Care Compare)

2821 Brookside CT
Augusta, KS 67010-2433
Phone (316) 425-0073

524 N Main St
El Dorado, KS 67042-2024
Phone (316) 321-6036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83536KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince Aug 29, 2024 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1073348595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2470",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675042470",
            "telephone_number": "316-272-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N RIDGE RD STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051223",
            "telephone_number": "316-272-0800",
            "fax_number": "316-272-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6432 E 34th St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262537",
            "country_code": "US",
            "telephone_number": "316-260-8700",
            "fax_number": "316-201-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIANNA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "83536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.