Individual provider Active NPI

Angela Le, APRN

  • Adult Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1205605730
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-82720-041 Issued in KS
Practice address
3243 E Murdock St Ste 300
Wichita, KS 67208-3006
Phone
(316) 262-4467
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 53-82720-041 KS Primary

Addresses

Primary practice location

3243 E Murdock St Ste 300
Wichita, KS 67208-3006

Mailing address

818 N Emporia St Ste 403
Wichita, KS 67214-3728
Phone (316) 262-4467

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
I20240205002428 KS Practitioner - Nurse Practitioner 7012350226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Center of Kansas PAGroup PAC ID 5395732820, 30 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Suite 300
Wichita, KS 67208-3006
Phone (316) 262-4467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82720-041KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Kansas, P.a. CurrentSince Jan 18, 2024 Accepting new patients
Wichita Endoscopy Center LLC Current Accepting new patients
Cancer Center of Kansas, P.a. CurrentSince Jan 18, 2024 Accepting new patients

Locations

3243 E Murdock St
Ste 300
Wichita, KS 67208
Phone (316) 689-9111

818 N Emporia St
Ste 403
Wichita, KS 67214
Phone (316) 613-4296

9050 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 219-9651

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1205605730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 403",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143728",
            "telephone_number": "316-262-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083006",
            "telephone_number": "316-262-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-82720-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.