Individual provider Active NPI

Anna Waddell

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1114400199
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78178 Issued in KS
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

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025001353 KS Practitioner - Nurse Practitioner 2264785013 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of Kansas, LLC CurrentSince Aug 1, 2025 Accepting new patients
Premier Hospitalists of Kansas, LLC Current Accepting new patients
Premier Hospitalists of Kansas, LLC CurrentSince Aug 1, 2025 Accepting new patients
Neurology Consultants of Kansas LLC PastSince Jul 18, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.