Individual provider Active NPI

Anthony D Minja, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1225495807
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
77028 Issued in KS
Practice address
6611 E Central Ave Ste C
Wichita, KS 67206-1937
Phone
(316) 648-1157
Fax
(866) 316-4467
NPI assigned
Jan 27, 2016
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 77028 KS Primary

Addresses

Primary practice location

6611 E Central Ave Ste C
Wichita, KS 67206-1937

Mailing address

12002 W Jewell CT
Wichita, KS 67235-4100
Phone (316) 648-1157

Other practice location 1

2800 S Rock Rd
Wichita, KS 67210-1801
Phone (316) 648-1157

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
I20160428001610 KS Practitioner - Nurse Practitioner 5597064360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6611 E Central Ave
Suite C
Wichita, KS 67206-1937
Phone (316) 648-1157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minja Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jun 20, 2022 Accepting new patients

Locations

6611 E Central Ave
Ste C
Wichita, KS 67206
Phone (316) 650-1877

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1225495807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 W JEWELL CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672354100",
            "telephone_number": "316-648-1157",
            "fax_number": "866-316-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 E CENTRAL AVE STE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061937",
            "telephone_number": "316-648-1157",
            "fax_number": "866-316-4467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101801",
            "country_code": "US",
            "telephone_number": "316-648-1157",
            "fax_number": "866-316-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINJA",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "77028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.