Active NPI
Holly Ann Stein, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-80511-102
- Practice address
- 250 N Rock Rd Ste 300G
Wichita, KS 67206-2263 - Phone
- (316) 500-7610
- Fax
- (316) 661-1523
- NPI assigned
- Apr 26, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-80511-102 | KS | Primary |
Addresses
Primary practice location
250 N Rock Rd Ste 300G
Wichita, KS 67206-2263
Mailing address
2426 N Woodridge Cir
Wichita, KS 67226-8202
Other practice location 1
1507 W 21st St N
Wichita, KS 67203-2449
Phone (316) 221-7310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004769620001 | Medicaid | KS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80511-102 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Via Christi, PA | Current | Accepting new patients | |
| Ascension Medical Group Via Christi, PA | Current | Accepting new patients | |
| Journey Mental Health, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| KVC Hospitals Inc | Past | Accepting new patients | |
| KVC Hospital Inc | Past | Accepting new patients | |
| KVC Hospitals Inc | Past | Accepting new patients | |
| KVC Hospitals Inc | Past | Accepting new patients |
Locations
3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107
1515 S Clifton Ave
Ste 300
Wichita, KS 67218
Phone (316) 682-6551
250 N Rock Rd
Ste 300G
Wichita, KS 67206
Phone (316) 500-7610
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1063453991
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
- NPI 1396442471
-
- Rural Health Clinic/Center
- Wellington, KS
- NPI 1538773569
-
- Psychiatric Hospital
- Wichita, KS
- NPI 1801464359
-
- Psychiatric Residential Treatment Facility
- Kansas City, KS
- NPI 1184764151
-
- Psychiatric Hospital
- Wichita, KS
- NPI 1629538483
-
- Psychiatric Hospital
- Kansas City, KS
- NPI 1851403240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690675200000",
"number": "1134701394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 N WOODRIDGE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N ROCK RD STE 300G",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062263",
"telephone_number": "316-500-7610",
"fax_number": "316-661-1523"
}
],
"practiceLocations": [
{
"address_1": "1507 W 21st St N",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672032449",
"country_code": "US",
"telephone_number": "316-221-7310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEIN",
"first_name": "HOLLY",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2023-07-30",
"certification_date": "2023-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-80511-102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004769620001",
"state": "KS"
}
],
"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 Jul 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.