Active NPI
Mary Brost, APRN
- Family Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-75895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PACS Pacs 3 Midwest LLCNV Pacs 2 LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75895 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Kansas Post Acute Medical Services 1 PA | Current | 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.