Individual provider Active NPI

Corinne Carol Kehrberg, RN ARNP

  • Registered Nurse
  • Wichita, KS
National Provider Identifier
1154305308
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1433388041 Issued in KS
Practice address
7570 W 21St St N
Suite 1026-D
Wichita, KS 67205-1734
Phone
(316) 729-6555
Fax
(316) 634-4794
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1433388041 KS Primary
Registered Nurse 163W00000X 74516 KS

Addresses

Primary practice location

7570 W 21St St N
Suite 1026-D
Wichita, KS 67205-1734

Mailing address

7570 W 21St St N
Suite 1026-D
Wichita, KS 67205-1734
Phone (316) 729-6555

Other identifiers 2

IdentifierTypeStateIssuer
4286852001MedicaidKS
1433388041OtherKSKANSAS STATE BOARD OF NURSING

Other names 1

  • Corinne Carol Ignarski Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1433388041KSMDRegistered Nurse
74516KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. Past Accepting new patients
Prairie View Inc Past Accepting new patients
Prairie View, Inc. PastSince Aug 1, 1996 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154305308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "SUITE 1026-D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-729-6555",
            "fax_number": "316-634-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "SUITE 1026-D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-729-6555",
            "fax_number": "316-634-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRBERG",
        "first_name": "CORINNE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "RN ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1433388041",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "74516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4286852001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF NURSING",
            "identifier": "1433388041",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "IGNARSKI",
            "middle_name": "CAROL",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.