Individual provider Active NPI

Katherine Sisk, MSN, APRN

  • Women's Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1174223366
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
53-82000-101 Issued in KS
Practice address
2707 E 21St St N
Wichita, KS 67214-2249
Phone
(316) 691-0249
Fax
(866) 514-0974
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-82000-101 KS Primary

Addresses

Primary practice location

2707 E 21St St N
Wichita, KS 67214-2249

Mailing address

1216 Summerwood Cir
Goddard, KS 67052-8511
Phone (316) 371-0473

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
I20230315002990 KS Practitioner - Nurse Practitioner 6901270800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcore Clinic IncGroup PAC ID 9739092131, 18 clinicians

Practice addresses (Care Compare)

2707 E 21St St N
Wichita, KS 67214-2249
Phone (316) 691-0249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-82000-101KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcore Clinic Inc CurrentSince Mar 14, 2023 Accepting new patients

Locations

2707 E 21st St N
Wichita, KS 67214
Phone (316) 691-0249

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1174223366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SUMMERWOOD CIR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528511",
            "telephone_number": "316-371-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-691-0249",
            "fax_number": "866-514-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-82000-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.