Individual provider Active NPI

Mandy Kay Wood, NP

  • Acute Care Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1174112882
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
79874 Issued in KS
Practice address
2101 N Waldron St
Hutchinson, KS 67502-1197
Phone
(620) 669-2500
NPI assigned
Jan 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 79874 KS Primary

Addresses

Primary practice location

2101 N Waldron St
Hutchinson, KS 67502-1197

Mailing address

2101 N Waldron St
Hutchinson, KS 67502-1197
Phone (620) 669-2500

Other practice location 1

6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 262-6857

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mandywood@hcpa.allscriptsdirect.net Direct

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
I20210317000928 KS Practitioner - Nurse Practitioner 2163838111 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Clinic, P.a., Inc. CurrentSince Oct 11, 2022 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Restore Medical Group Midwest LLC Acute Care CurrentSince Apr 1, 2025 Accepting new patients
Hutchinson Clinic, PA, Inc. CurrentSince Oct 11, 2022 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients

Locations

2107 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500

2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500

12021 E 13th St N
Ste 119
Wichita, KS 67206
Phone (316) 330-5353

Organizations & group practices 5

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": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1174112882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Patterson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Arkansas City",
            "state": "KS",
            "postal_code": "670055701",
            "country_code": "US",
            "telephone_number": "620-262-6857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MANDY",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "79874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandywood@hcpa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hutchinson Clinic, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2101 N Waldron St",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.