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

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.

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 IDStateProvider typePAC IDDetails
I20200326002389 KS Practitioner - Nurse Practitioner 2466881404 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
53-79133-042KSMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Westwood, KS · Nurse Practitioner in Kansas

Sources for this page

Verify at the official NPI Registry.