Individual provider Active NPI

Collin Yoachim, DNP-FNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1205712452
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84610 Issued in KS
Practice address
3161 N Rock Rd Ste a
Wichita, KS 67226-1453
Phone
(316) 440-2712
NPI assigned
Aug 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 84610 KS Primary

Addresses

Primary practice location

3161 N Rock Rd Ste a
Wichita, KS 67226-1453

Mailing address

3161 N Rock Rd Ste a
Wichita, KS 67226-1453
Phone (316) 440-2712

Other practice location 1

3417 S Meridian Ave
Wichita, KS 67217-2151
Phone (316) 886-2000

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
I20250906000709 KS Practitioner - Nurse Practitioner 7618479809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maria Medical Group LLCGroup PAC ID 5991936403, 15 clinicians

Practice addresses (Care Compare)

3161 N Rock Rd a
Afc Doctors Express
Wichita, KS 67226-1312
Phone (316) 440-2712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84610KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Aug 15, 2025 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Mar 2, 2026 Accepting new patients
Gracemed Health Clinic, Inc CurrentSince Mar 2, 2026 Accepting new patients

Locations

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

1150 N Broadway Ave
Wichita, KS 67214

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

3417 S Meridian Ave
Wichita, KS 67217
Phone (316) 866-2078

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1205712452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453",
            "telephone_number": "316-440-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453",
            "telephone_number": "316-440-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 S Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672172151",
            "country_code": "US",
            "telephone_number": "316-886-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOACHIM",
        "first_name": "COLLIN",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "84610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.