Individual provider Active NPI

Roxan A Kendall, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1285124560
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78392 Issued in KS
Practice address
345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone
(316) 616-1055
NPI assigned
May 13, 2018
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 78392 KS Primary
Registered Nurse 163W00000X 13-128966-111 KS

Addresses

Primary practice location

345 N Riverview St Ste 500
Wichita, KS 67203-4265

Mailing address

345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone (316) 616-1055

Other identifiers 1

IdentifierTypeStateIssuer
201223540AMedicaidKS

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
I20181207000652 KS Practitioner - Nurse Practitioner 8123362746 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcore Clinic IncGroup PAC ID 9739092131, 18 clinicians
Hunter Health Clinic IncGroup PAC ID 5193632941, 15 clinicians
Rivercross Hospice L.L.C.Group PAC ID 1052469400, 2 clinicians

Practice addresses (Care Compare)

2707 E 21St St N
Wichita, KS 67214-2249
Phone (316) 691-0249

2750 S Rooselvelt
Hunter Health Clinic Brookside
Wichita, KS 67210-1304
Phone (316) 652-0152

527 N Grove St
Wichita, KS 67214-4520
Phone (316) 262-2415

611 E William St
Rivercross Palliative Care
Wichita, KS 67202-4617
Phone (877) 291-9690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-128966-111KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcore Clinic Inc CurrentSince Feb 23, 2026 Accepting new patients
Heartland Cardiology, LLC CurrentSince Dec 1, 2023 Accepting new patients
Gracemed Health Clinic, Inc CurrentSince Mar 2, 2026 Accepting new patients
Heartland Cardiology, LLC CurrentSince Dec 1, 2023 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Mar 2, 2026 Accepting new patients
Rivercross Hospice L.L.C. CurrentSince Dec 16, 2025 Accepting new patients
Hunter Health Clinic Inc Current Accepting new patients
Theoria Medical CurrentSince Sep 23, 2024 Accepting new patients
Hunter Health Clinic, Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

1150 N Broadway Ave
Wichita, KS 67214

1319 S Seville Ave
Wichita, KS 67209
Phone (316) 722-6916

2318 E Central Ave
Wichita, KS 67214
Phone (316) 262-2415

2707 E 21st St N
Wichita, KS 67214
Phone (316) 691-0249

2750 S Roosevelt St
Wichita, KS 67210
Phone (316) 262-2415

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

402 E 2nd St N
Wichita, KS 67202
Phone (316) 262-2414

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

611 E William St
Wichita, KS 67202
Phone (316) 260-9690

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

935 N Market St
Wichita, KS 67214
Phone (316) 858-1151

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1285124560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "ROXAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78392",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-128966-111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201223540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.