Individual provider Active NPI

Nicole Ann Xanders-Danler

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1083374292
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
80822 Issued in KS
Practice address
9333 E 21St St N Ste 102
Wichita, KS 67206-2927
Phone
(316) 766-8200
NPI assigned
Dec 29, 2021
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 80822 KS Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 13-117495-031 KS

Addresses

Primary practice location

9333 E 21St St N Ste 102
Wichita, KS 67206-2927

Mailing address

PO Box 834
Derby, KS 67037-0834
Phone (316) 260-7900

Other practice location 1

425 N Baltimore Ave Ste 5
Derby, KS 67037-1625
Phone (316) 260-7900

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
I20220314001799 KS Practitioner - Nurse Practitioner 9830584648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Central Mental Health Counseling Center, IncGroup PAC ID 3375437973, 27 clinicians
Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 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

9333 E 21St St N
Suite 102
Wichita, KS 67206-2927
Phone (316) 766-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-117495-031KSMDPsychiatric/Mental Health Registered Nurse
80822KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminary Behavioral Health LLC Psychiatric/Mental Health CurrentSince Sep 13, 2022 Accepting new patients
South Central Mental Health Counseling Center, Inc. CurrentSince Aug 12, 2025 Accepting new patients
County of Sedgwick Current Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince May 1, 2025 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

425 N Baltimore Ave
Ste 5
Derby, KS 67037
Phone (316) 260-7900

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

9333 E 21st St N
Ste 102
Wichita, KS 67206
Phone (316) 766-8200

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.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1083374292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670370834",
            "telephone_number": "316-260-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 E 21ST ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-766-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Baltimore Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670371625",
            "country_code": "US",
            "telephone_number": "316-260-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XANDERS-DANLER",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "80822",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "13-117495-031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.