Individual provider Active NPI

Andrea Michelle Rogers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1083262695
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
78927 Issued in KS
Practice address
7829 E Rockhill St Ste 105
Wichita, KS 67206-3919
Phone
(316) 221-5545
Fax
(316) 221-5546
NPI assigned
Aug 27, 2019
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 78927 KS Primary

Addresses

Primary practice location

7829 E Rockhill St Ste 105
Wichita, KS 67206-3919

Mailing address

7829 E Rockhill St Ste 105
Wichita, KS 67206-3919
Phone (316) 221-5545

Other practice location 1

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 268-5000

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
I20191112000536 KS Practitioner - Nurse Practitioner 4587096615 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 4, 2019 Accepting new patients
Clinical Associates PA CurrentSince May 1, 2020 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 4, 2019 Accepting new patients

Locations

8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553

1515 S Clifton Ave
Ste 300
Wichita, KS 67218
Phone (316) 682-6551

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1083262695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063919",
            "telephone_number": "316-221-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063919",
            "telephone_number": "316-221-5545",
            "fax_number": "316-221-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 E Harry St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183713",
            "country_code": "US",
            "telephone_number": "316-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "78927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.