Individual provider Active NPI

Diane Florence Wendelken, APRN

  • Women's Health Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1255334843
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
53-45554 Issued in KS
Practice address
1620 Charles PL
Manhattan, KS 66502-2750
Phone
(785) 776-1400
Fax
(785) 776-7392
NPI assigned
May 27, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-45554 KS Primary

Addresses

Primary practice location

1620 Charles PL
Manhattan, KS 66502-2750

Mailing address

1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400

Other identifiers 1

IdentifierTypeStateIssuer
200253940AMedicaidKS

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
I20040511001277 KS Practitioner - Nurse Practitioner 0749279958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Women's Health Group, P.a.Group PAC ID 9739174749, 9 clinicians

Practice addresses (Care Compare)

1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45554KSMDLicensed Practical Nurse
53-45554KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Women's Health Group, P.a. CurrentSince Jan 1, 2004 Accepting new patients

Locations

1620 Charles Pl
Manhattan, KS 66502
Phone (785) 776-1400

8315 Positano Dr
Manhattan, KS 66502
Phone (785) 776-1400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255334843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELKEN",
        "first_name": "DIANE",
        "middle_name": "FLORENCE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-45554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.