Individual provider Active NPI

Mary Brost, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1255679809
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75895 Issued in KS
Practice address
1131 S Clifton Ave
Suite B
Wichita, KS 67218-2955
Phone
(316) 462-1040
Fax
(316) 462-1042
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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 53-75895 KS Primary

Addresses

Primary practice location

1131 S Clifton Ave
Suite B
Wichita, KS 67218-2955

Mailing address

1131 S Clifton Ave
Suite B
Wichita, KS 67218-2955
Phone (316) 462-1040

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
I20130508000333 KS Practitioner - Nurse Practitioner 3072750124 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Kansas Post Acute Medical Services 1 PA 58 clinicians
CS Pacs 3 Midwest LLC 36 clinicians
NV Pacs 2 LLC 119 clinicians

Practice addresses (Care Compare)

10604 E 13TH St N
Wichita, KS 67206-3706
Phone (316) 337-5450

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

Hospital & facility affiliations

  • Azria Health Wichita Nursing home, Wichita, KS, CCN 175563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75895KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 20, 2013 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 20, 2013 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients

Locations

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1131 S Clifton Ave
Ste B
Wichita, KS 67218
Phone (316) 462-1040

10604 E 13th St N
Wichita, KS 67206
Phone (316) 337-5450

12101 Woodcrest Executive Dr
Ste 210
Saint Louis, MO 63141

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1255679809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S CLIFTON AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182955",
            "telephone_number": "316-462-1040",
            "fax_number": "316-462-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S CLIFTON AVE",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182955",
            "telephone_number": "316-462-1040",
            "fax_number": "316-462-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROST",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.