Krista Ann Chernoff, APRN
Individual provider Active NPI Nurse Practitioner · Westwood, KS
NPI 1235762014 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1235762014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-79133-042 (KS)
- Practice address
- 2200 W 47TH PL Unit 101
Westwood, KS 66205-1865 - Phone
- (913) 800-8073
- Fax
- (913) 273-5721
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326002389 | KS | Practitioner - Nurse Practitioner | 2466881404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79133-042 | KS | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-79133-042 | KS | Yes |
Addresses
Primary practice location
2200 W 47TH PL Unit 101
Westwood, KS 66205-1865
Mailing address
3220 W 82ND Ter
Leawood, KS 66206-1118
Phone (913) 961-7365
Other providers in Westwood, KS
- Sunny Shengyuan Cai
- Camren Healthcare Group, PA
- Jennifer Susanne Carter
- Michael Joseph Cattaneo
- Amanda Chaney
- Anusha Chidharla
- Daniel Hunter Clausing
- Kristy Cluff
- Meera Mitchelle Clytone
- Emily Margaret Connor
All providers in Westwood, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.