Individual provider Active NPI

Madison L Hanzlick, APRN

  • Family Nurse Practitioner
  • Great Bend, KS
National Provider Identifier
1184306557
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84407 Issued in KS
Practice address
1905 19TH St
Great Bend, KS 67530-2502
Phone
(620) 792-5700
Fax
(855) 463-0851
NPI assigned
Aug 3, 2023
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 53-84407 KS Primary

Addresses

Primary practice location

1905 19TH St
Great Bend, KS 67530-2502

Mailing address

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Other practice location 1

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2250

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
I20250716000295 KS Practitioner - Nurse Practitioner 4284149402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Kansas Family Health Care, Inc. CurrentSince Jun 17, 2025 Accepting new patients
Heart of Kansas Family Health Care, Inc. CurrentSince Jun 17, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700

522 Broadway St
Larned, KS 67550
Phone (620) 804-6007

609 E 1st Ave
St John, KS 67576
Phone (620) 549-3251

412 Grand Ave
Stafford, KS 67578
Phone (620) 234-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
  • Direct secure messaging: madison.hanzlick.1@20094.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1184306557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 19TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302502",
            "telephone_number": "620-792-5700",
            "fax_number": "855-463-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 19TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302502",
            "telephone_number": "620-792-5700",
            "fax_number": "855-463-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANZLICK",
        "first_name": "MADISON",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.