Individual provider Active NPI

Michael M Katunzi, APRN

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1295101756
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
76886 Issued in KS
Practice address
347 S Laura St
Wichita, KS 67211
Phone
(316) 686-7117
Fax
(316) 686-2679
NPI assigned
Aug 18, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

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
I20151119001970 KS Practitioner - Nurse Practitioner 1456651678 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76886KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Susan B. Allen Memorial Hospital CurrentSince Feb 24, 2024 Accepting new patients
Morris County Hospital CurrentSince Nov 1, 2021 Accepting new patients
Susan B. Allen Memorial Hospital Current Accepting new patients
Louay K. Sabih, LLC CurrentSince Mar 1, 2016 Accepting new patients
Morris County Hospital CurrentSince Nov 1, 2021 Accepting new patients
Vigilias LLC CurrentSince Oct 14, 2021 Accepting new patients
Carepoint Emergency Medicine Kansas LLC CurrentSince Jan 1, 2020 Accepting new patients
South Central Kansas Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Edwards County Hospital and Healthcare Center Current Accepting new patients
South Central Kansas Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
South Central Kansas Regional Medical Center Current Accepting new patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince Oct 26, 2022 Accepting new patients
Susan B. Allen Memorial Hospital CurrentSince Feb 24, 2024 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Grisell Memorial Hospital District 1 Past Accepting new patients
Newman Memorial County Hospital 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
Medical Specialists PA Past Accepting new patients
William Newton Memorial Hospital 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
James M. McDermott D.O. Past Accepting new patients

Locations

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

6403 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 442-2500

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
Phone (913) 333-7524

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

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b7d97c24-76cc-4a74-827a-3cd7c83065ba/
  • Direct secure messaging: michael.katunzi.p1@direct.edcomed.nextgenshare.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 2

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295101756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S LAURA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111518",
            "telephone_number": "316-686-7117",
            "fax_number": "316-686-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S LAURA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67211",
            "telephone_number": "316-686-7117",
            "fax_number": "316-686-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7721 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662163401",
            "country_code": "US",
            "telephone_number": "913-850-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATUNZI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "76886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76886",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76886",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "76886",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "76886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.