Individual provider Active NPI

Kristen Jill Flavell, APRN FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1174070635
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77390 Issued in KS
Practice address
4722 W Kellogg Dr
Wichita, KS 67209
Phone
(316) 440-2565
Fax
(316) 440-2750
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 53-77390 KS Primary

Addresses

Primary practice location

4722 W Kellogg Dr
Wichita, KS 67209

Mailing address

14241 W 70TH Cir N
Colwich, KS 67030-9651
Phone (316) 830-8100

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
I20161025000951 KS Practitioner - Nurse Practitioner 5991083016 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77390KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Plus of Overland Park, LLC CurrentSince Apr 7, 2022 Accepting new patients
Maria Medical Group, LLC CurrentSince Feb 9, 2023 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc CurrentSince Jun 30, 2025 Accepting new patients
Mercy Medical Clinic, PA PastSince Nov 1, 2016 Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients
Miacare Medical Services, LLC PastSince Feb 9, 2023 Accepting new patients

Locations

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

2770 S 9th St
Salina, KS 67401
Phone (785) 827-3551

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

Organizations & group practices 6

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1174070635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 W 70TH CIR N",
            "city": "COLWICH",
            "state": "KS",
            "postal_code": "670309651",
            "telephone_number": "316-830-8100",
            "fax_number": "316-241-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67209",
            "telephone_number": "316-440-2565",
            "fax_number": "316-440-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVELL",
        "first_name": "KRISTEN",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.