Individual provider Active NPI

Christy Reser, APRN

  • Family Nurse Practitioner
  • Andover, KS
National Provider Identifier
1154882025
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78582-072 Issued in KS
Practice address
225 E Cloud Ave
Andover, KS 67002-8824
Phone
(316) 554-2606
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-78582-072 KS Primary

Addresses

Primary practice location

225 E Cloud Ave
Andover, KS 67002-8824

Mailing address

1845 Fairmount St
Wichita, KS 67260-9700
Phone (316) 214-4830

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
I20190619003060 KS Practitioner - Nurse Practitioner 3274867551 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
Little Clinic of Kansas LLCGroup PAC ID 7416268461, 35 clinicians

Practice addresses (Care Compare)

225 E Cloud Ave
Andover, KS 67002-8824
Phone (316) 554-2606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78582-072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of Kansas LLC Family CurrentSince Jan 13, 2025 Accepting new patients

Locations

225 E Cloud Ave
Andover, KS 67002
Phone (316) 554-2606

4747 S Broadway Ave
Wichita, KS 67216
Phone (316) 524-4228

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1154882025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672609700",
            "telephone_number": "316-214-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CLOUD AVE",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028824",
            "telephone_number": "316-554-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESER",
        "first_name": "CHRISTY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78582-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.