Individual provider Active NPI

Marinda Dawn Wehkamp, NP-C

  • Gerontology Nurse Practitioner
  • Garden City, KS
National Provider Identifier
1285192104
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-83402 Issued in KS
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 271-3190
Fax
(620) 271-3117
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 163856 KS
Nurse Practitioner 363L00000X API140224 TX
Gerontology Nurse Practitioner 363LG0600X AP140224 TX
Gerontology Nurse Practitioner 363LG0600X 163856 KS
Gerontology Nurse Practitioner 363LG0600X 53-83402 KS Primary

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

311 E Spruce St
Garden City, KS 67846-5614
Phone (620) 271-3190

Other practice location 1

5211 W 9th Ave
Amarillo, TX 79106-4120
Phone (806) 576-2734

Other practice location 2

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 358-9400

Other names 1

  • Marinda Dawn Newkirk Former name

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
I20240806003228 KS Practitioner - Nurse Practitioner 8224030390 Reassigns benefits to 1 organization

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
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

311 E Spruce St
SCHC Family Practice
Garden City, KS 67846-5614
Phone (620) 275-3780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.79 of 100Reported as group
Quality
29.28
Promoting interoperability
0
Improvement activities
0
Cost
69.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
API140224TXMDNurse Practitioner
163856KSMDGerontology Nurse Practitioner
53-83402KSMDGerontology Nurse Practitioner
AP140224TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. Current Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Jul 30, 2024 Accepting new patients
St Catherine Hospital CurrentSince Jul 30, 2024 Accepting new patients
St. Catherine Hospital Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

311 E Spruce St
Garden City, KS 67846
Phone (620) 271-3139

Organizations & group practices 4

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 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": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1285192104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-271-3190",
            "fax_number": "806-358-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-271-3190",
            "fax_number": "620-271-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5211 W 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791064120",
            "country_code": "US",
            "telephone_number": "806-576-2734",
            "fax_number": "806-358-3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791091531",
            "country_code": "US",
            "telephone_number": "806-358-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHKAMP",
        "first_name": "MARINDA",
        "middle_name": "DAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "163856",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "API140224",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140224",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "163856",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-83402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINDA",
            "last_name": "NEWKIRK",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.