Individual provider Active NPI

Amanda Elizabeth Ast, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1255834735
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77984 Issued in KS
Practice address
834 N Socora St Ste 4
Wichita, KS 67212-3279
Phone
(316) 440-2802
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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 77984 KS Primary

Addresses

Primary practice location

834 N Socora St Ste 4
Wichita, KS 67212-3279

Mailing address

834 N Socora St Ste 4
Wichita, KS 67212-3279
Phone (316) 440-2802

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
I20180329001270 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 7214299353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Center of Kansas LLCGroup PAC ID 0941571327, 5 clinicians

Practice addresses (Care Compare)

9300 E 29TH St N
Suite 204
Wichita, KS 67226-2183
Phone (316) 500-6000

Hospital & facility affiliations

  • SCK Health Hospital, Arkansas City, KS, CCN 170779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77984KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Diabetes Research, Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

834 N Socora St
Ste 4
Wichita, KS 67212
Phone (316) 440-2802

Interoperability endpoints

  • Direct secure messaging: amanda.ast.1@16181.direct.athenahealth.com

Organizations & group practices 2

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1255834735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AST",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.