Active NPI
Anna Waddell
- Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 78178
- Practice address
- 3450 N Rock Rd Ste 503
Wichita, KS 67226-1355 - Phone
- (316) 312-0002
- Fax
- (316) 854-5644
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 78178 | KS | Primary |
Addresses
Primary practice location
3450 N Rock Rd Ste 503
Wichita, KS 67226-1355
Mailing address
2402 N Vinegate Cir
Wichita, KS 67226-3652
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
929 N Saint Francis Ave
FL 6
Wichita, KS 67214-3821
Phone (316) 755-0144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Hospitalists of Kansas, LLC | Current | Accepting new patients | |
| Premier Hospitalists of Kansas, LLC | Current | Accepting new patients | |
| Premier Hospitalists of Kansas, LLC | Current | Accepting new patients | |
| Neurology Consultants of Kansas LLC | Past | Accepting new patients |
Locations
929 N Saint Francis Ave
#6
Wichita, KS 67214
Phone (316) 261-8303
929 N Saint Francis Ave
Fl 6
Wichita, KS 67214
Phone (316) 261-8303
3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJHFCD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Wichita, KS
- NPI 1972942415
-
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
- NPI 1063230803
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1629850912
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1114400199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 N VINEGATE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 N ROCK RD STE 503",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261355",
"telephone_number": "316-312-0002",
"fax_number": "316-854-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "78178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.