Individual provider Active NPI

Paige Kelley

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1205627759
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84297-122 Issued in KS
Practice address
3343 W Central Ave
Wichita, KS 67203-4917
Phone
(316) 260-4110
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 53-84297-122 KS Primary

Addresses

Primary practice location

3343 W Central Ave
Wichita, KS 67203-4917

Mailing address

3343 W Central Ave
Wichita, KS 67203-4917
Phone (316) 260-4110

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
I20250606002271 KS Practitioner - Nurse Practitioner 3870003056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermes Healthcare PAGroup PAC ID 4284953399, 12 clinicians
Kansas Heart Hospital, LLCGroup PAC ID 6204735947, 27 clinicians

Practice addresses (Care Compare)

1947 N Founders Cir
Via Christi Clinic PA
Wichita, KS 67206-3548
Phone (316) 613-4640

3015 N Penstemon St
Wichita, KS 67226-3903
Phone 3162604110601

9350 E 35TH St N
101 Cardiovascular Consultants of KS
Wichita, KS 67226-2022
Phone (316) 630-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-84297-122KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Heart Hospital, LLC CurrentSince Feb 23, 2026 Accepting new patients
Hermes Healthcare PA CurrentSince May 15, 2025 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 1, 2025 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 1, 2025 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

3343 W Central Ave
Wichita, KS 67203
Phone (316) 260-4110

3601 N Webb Rd
Wichita, KS 67226
Phone (316) 360-5000

9350 E 35th St N
Ste 101
Wichita, KS 67226
Phone (316) 265-1308

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

3015 N Penstemon St
Wichita, KS 67226
Phone (316) 440-8383

Organizations & group practices 6

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.

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1205627759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034917",
            "telephone_number": "316-260-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034917",
            "telephone_number": "316-260-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84297-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.