Individual provider Active NPI

Irene Chepchumba Keny, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, KS
National Provider Identifier
1083458749
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-85195-071 Issued in KS
Practice address
2002 N Harvest Ridge St
Andover, KS 67002-8651
Phone
(913) 981-3686
NPI assigned
Jun 19, 2024
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 53-85195-071 KS Primary

Addresses

Primary practice location

2002 N Harvest Ridge St
Andover, KS 67002-8651

Mailing address

2002 N Harvest Ridge St
Andover, KS 67002-8651

Other practice location 1

1541 N Lindberg Cir
Wichita, KS 67206-6400
Phone (520) 612-0466

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
I20260507003307 KS Practitioner - Nurse Practitioner 0547738536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2002 N Harvest Ridge St
Andover, KS 67002-8651

PO Box
Suite 65985
Tucson, AZ 85728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-85195-071KSMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1083458749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N HARVEST RIDGE ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028651",
            "fax_number": "719-572-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N HARVEST RIDGE ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028651",
            "telephone_number": "913-981-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 N Lindberg Cir",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672066400",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENY",
        "first_name": "IRENE",
        "middle_name": "CHEPCHUMBA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-85195-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.