Individual provider Active NPI

Amy Debbrecht, NP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1205142296
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75213 Issued in KS
Practice address
551 N Hillside
Suite 330
Wichita, KS 67214-4926
Phone
(316) 962-7188
Fax
(316) 962-7199
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 75213 KS Primary

Addresses

Primary practice location

551 N Hillside
Suite 330
Wichita, KS 67214-4926

Mailing address

4900 S. Monaco St
#210
Denver, CO 80237-3486
Phone (316) 962-7188

Other identifiers 1

IdentifierTypeStateIssuer
200671750AMedicaidKS

Other names 1

  • Amy Chinault Former name

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
I20101015000549 KS Practitioner - Nurse Practitioner 6204029879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physician Services LLCGroup PAC ID 3971578352, 3 clinicians

Practice addresses (Care Compare)

551 N Hillside St
Suite 330
Wichita, KS 67214-4926
Phone (316) 962-7188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75213KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physician Services LLC CurrentSince Aug 30, 2010 Accepting new patients

Locations

4900 S Monaco St
Ste 210
Denver, CO 80237

551 N Hillside St
Ste 330
Wichita, KS 67214
Phone (316) 962-7188

Interoperability endpoints

  • Direct secure messaging: amy.debbrecht@hca3.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1205142296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "316-962-7188",
            "fax_number": "316-962-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE",
            "address_2": "SUITE 330",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144926",
            "telephone_number": "316-962-7188",
            "fax_number": "316-962-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBBRECHT",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200671750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHINAULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.