Individual provider Active NPI

Karen Ann Wenner, NP

  • Nurse Practitioner
  • Merriam, KS
National Provider Identifier
1336485713
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-75806-022 Issued in KS
Practice address
9119 W 74TH St
Suite 354
Merriam, KS 66204-2215
Phone
(913) 894-2121
Fax
(913) 894-9592
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-75806-022 KS Primary

Addresses

Primary practice location

9119 W 74TH St
Suite 354
Merriam, KS 66204-2215

Mailing address

9119 W 74TH St
Suite 354
Merriam, KS 66204-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170126000477 NE Practitioner - Nurse Practitioner 5092944033 Reassigns benefits to 2 organizations
I20240806003380 WY Practitioner - Nurse Practitioner 5092944033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimball County HospitalGroup PAC ID 5799751004, 19 clinicians

Practice addresses (Care Compare)

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75806-022KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital CurrentSince Mar 1, 2023 Accepting new patients
Summit Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Mar 1, 2023 Accepting new patients
Kimball County Hospital CurrentSince Sep 1, 2022 Accepting new patients
Kimball County Hospital CurrentSince Sep 1, 2022 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Ivinson Memorial Hospital Past Accepting new patients

Locations

2091 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Interoperability endpoints

  • Direct secure messaging: kwenner@bbgh.securechart.com

Organizations & group practices 7

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 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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1336485713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 354",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 354",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-894-2121",
            "fax_number": "913-894-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75806-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.