Laura Maxine Donnenwerth, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Pratt, KS
NPI 1174415699 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1174415699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 53-84567-081 (KS)
- Practice address
- 203 Watson St Ste 200
Pratt, KS 67124-3092 - Phone
- (620) 672-7422
- NPI assigned
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pratt Family Practice LLC
Practice addresses (Care Compare)
203 Watson
Suite 200
Pratt, KS 67124
203 Watson
Suite 200
Pratt, KS 67124-3092
Phone (620) 672-7422
203 Watson St
Suite 200
Pratt, KS 67124-3092
PO Box
Suite 308
Pratt, KS 67124-0308
Hospital & facility affiliations
- Pratt Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902001391 | KS | Practitioner - Nurse Practitioner | 0840791745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-84567-081 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Family Practice LLC | Current |
Accepting new patients | |
| Pratt Family Practice LLC | Past |
Accepting new patients |
Locations
203 Watson St
Ste 200
Pratt, KS 67124
Phone (620) 672-7422
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHDADA/Endpoint/HHDADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-84567-081 | KS | Yes |
Addresses
Primary practice location
203 Watson St Ste 200
Pratt, KS 67124-3092
Mailing address
203 Watson St Ste 200
Pratt, KS 67124-3092
Phone (620) 672-7422
Other providers in Pratt, KS
- Travis E. Davis
- Dccca, Inc
- Dccca, Inc.
- Mitchell Delusa
- Dillon Companies LLC
- Steven R. Donnenwerth
- Earcare of Pratt, Inc.
- William David Eastes
- Kai Thomas Englert
- Megan M Epley
All providers in Pratt, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.