Individual provider Active NPI

Michelle Rosalynn Tunnell, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1144618216
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76629-071 Issued in KS
Practice address
929 N Saint Francis St
Wichita, KS 67214-3821
Phone
(316) 268-5266
Fax
(316) 291-7401
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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 53-76629-071 KS Primary

Addresses

Primary practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

929 N Saint Francis St
Wichita, KS 67214-3821
Phone (316) 268-5266

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
I20150715001630 KS Practitioner - Nurse Practitioner 4789997073 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 30, 2023 Accepting new patients
Lincoln County Hospital CurrentSince Jan 18, 2018 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Cep America - Kansas LLC Current Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

2031 W 6th Ave
Emporia, KS 66801
Phone (620) 481-2520

7107 S Meridian St
Haysville, KS 67060
Phone (316) 858-4165

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

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.

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1144618216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5266",
            "fax_number": "316-291-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5266",
            "fax_number": "316-291-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNELL",
        "first_name": "MICHELLE",
        "middle_name": "ROSALYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76629-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.