Active NPI
Kayla D Roecker, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Pittsburg, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-76952-011
- Practice address
- 3011 N Michigan St
Pittsburg, KS 66762-2546 - Phone
- (620) 231-9873
- Fax
- (620) 231-5062
- NPI assigned
- Oct 1, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2015034702 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-76952-011 | KS | Primary |
Addresses
Primary practice location
3011 N Michigan St
Pittsburg, KS 66762-2546
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170906002336 | KS | Practitioner - Nurse Practitioner | 6305156068 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Southeast Kansas Inc
Practice addresses (Care Compare)
203 N Kentucky St
Iola, KS 66749-2527
Phone (888) 777-9170
2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
3015 N Michigan St
Pittsburg, KS 66762-2546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-76952-011 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Current | Accepting new patients |
Locations
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
Interoperability endpoints
- kayla.angleton@chcsek.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Pittsburg, KS
- NPI 1669474425
KS
-
- Federally Qualified Health Center (FQHC)
- Baxter Springs, KS
- NPI 1487351086
-
- Federally Qualified Health Center (FQHC)
- Humboldt, KS
- NPI 1225577786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1144690249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1832",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667621832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N MICHIGAN ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622546",
"telephone_number": "620-231-9873",
"fax_number": "620-231-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROECKER",
"first_name": "KAYLA",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2015034702",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-76952-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.