Michael M Katunzi, APRN
Individual provider Active NPI Gerontology Nurse Practitioner · Wichita, KS
NPI 1295101756 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295101756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 76886 (KS)
- Practice address
- 347 S Laura St
Wichita, KS 67211 - Phone
- (316) 686-7117
- Fax
- (316) 686-2679
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
-
James M McDermott, D.O.
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carepoint Emergency Medicine Kansas LLC
South Central Kansas Regional Medical Center
Practice addresses (Care Compare)
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 442-2500
Hospital & facility affiliations
- SCK Health
- Susan B Allen Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119001970 | KS | Practitioner - Nurse Practitioner | 1456651678 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76886 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louay K. Sabih, LLC | Current |
Accepting new patients | |
| Morris County Hospital | Current |
Accepting new patients | |
| South Central Kansas Regional Medical Center | Current |
Accepting new patients | |
| Susan B. Allen Memorial Hospital | Current |
Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Susan B. Allen Memorial Hospital | Current |
Accepting new patients | |
| Lincoln County Hospital | Current |
Accepting new patients | |
| South Central Kansas Regional Medical Center | Current |
Accepting new patients | |
| South Central Kansas Regional Medical Center | Current | Accepting new patients | |
| Carepoint Emergency Medicine Kansas LLC | Current |
Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Susan B. Allen Memorial Hospital | Current | Accepting new patients | |
| Morris County Hospital | Current |
Accepting new patients | |
| Vigilias LLC | Current |
Accepting new patients | |
| Newman Memorial County Hospital | Past | Accepting new patients | |
| James M. McDermott D.O. | Past | Accepting new patients | |
| Medical Specialists PA | Past | Accepting new patients | |
| Grisell Memorial Hospital District 1 | Past | Accepting new patients | |
| William Newton Memorial Hospital | Past | Accepting new patients | |
| Grisell Memorial Hospital District 1 | Past | Accepting new patients | |
| Grisell Memorial Hospital District 1 | Past | Accepting new patients | |
| William Newton Memorial Hospital | Past | Accepting new patients | |
| James M McDermott DO | Past | Accepting new patients | |
| Newman Memorial County Hospital | Past | Accepting new patients | |
| William Newton Memorial Hospital | Past | Accepting new patients |
Locations
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
6403 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 442-2500
6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798
411 S Walnut St
Cottonwood Falls, KS 66845
Phone (620) 273-6131
600 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474
624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403
10550 Marty St
Ste 201
Overland Park, KS 66212
210 S Vermont Ave
Ransom, KS 67572
Phone (785) 731-2231
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
Interoperability endpoints
- michael.katunzi.p1@direct.edcomed.nextgenshare.com
- https://fhir-myrecord.cerner.com/r4/b7d97c24-76cc-4a74-827a-3cd7c83065ba/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 76886 | KS | |
| Family Nurse Practitioner | 363LF0000X | 76886 | KS | |
| Nurse Practitioner | 363L00000X | 76886 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | 76886 | KS | |
| Gerontology Nurse Practitioner | 363LG0600X | 76886 | KS | Yes |
Addresses
Primary practice location
347 S Laura St
Wichita, KS 67211
Mailing address
347 S Laura St
Wichita, KS 67211-1518
Phone (316) 686-7117
Other practice location 1
7721 Quivira Rd
Lenexa, KS 66216-3401
Phone (913) 850-1966
Other providers in Wichita, KS
- Katherine Leahy Psychology LLC
- Kathrine F. Girrens, MD, LLC
- Kathryn Van Winkle-Patyk D.C.,P.a.
- Kathy Brace CPM, Inc.
- Shanna Kating
- Danielle Renea Kauffman
- Justus Kauffman
- Kara Lynn Kauffman
- Kurt A Kauffman
- Anthony Kaufman
All providers in Wichita, KS · Gerontology Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.