Individual provider Active NPI

Courtney Friesen, APRN-BC

  • Pediatric Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1083002984
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
76635 Issued in KS
Practice address
550 N Hillside St
Building 1, 6TH Floor
Wichita, KS 67214-4910
Phone
(316) 962-7422
Fax
(316) 962-7805
NPI assigned
Dec 30, 2014
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 76635 KS Primary

Addresses

Primary practice location

550 N Hillside St
Building 1, 6TH Floor
Wichita, KS 67214-4910

Mailing address

PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150

Other names 1

  • Courtney Beirne Former name

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
I20150313001919 KS Practitioner - Nurse Practitioner 3072839844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas School of Medicine Wichita Medical Practice Assoc CurrentSince Mar 15, 2018 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

3243 E Murdock St
Ste Lvl-A
Wichita, KS 67208
Phone (316) 688-3150

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

550 N Hillside St
Bldg 1
Wichita, KS 67214
Phone (316) 962-7190

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1083002984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017490",
            "telephone_number": "316-962-3150",
            "fax_number": "316-962-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "address_2": "BUILDING 1, 6TH FLOOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-7422",
            "fax_number": "316-962-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "COURTNEY",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "76635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BEIRNE",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.