NPIMap

Individual provider Active NPI

Natalie Mae White, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1336762228
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02425 Issued in KS
Practice address
1613 S Triple Crown St
Wichita, KS 67230-7527
Phone
(316) 737-8110
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 15-02425 KS Primary

Addresses

Primary practice location

1613 S Triple Crown St
Wichita, KS 67230-7527

Mailing address

1613 S Triple Crown St
Wichita, KS 67230-7527
Phone (316) 737-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, AR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210504002920 KS Practitioner - Physician Assistant 8325457385 Reassigns benefits to 2 organizations
I20240605003909 OK Practitioner - Physician Assistant 8325457385 Reassigns benefits to 3 organizations
I20240625002523 AR Practitioner - Physician Assistant 8325457385 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sebastian Physician Services, PLLCGroup PAC ID 5294178448, 41 clinicians
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians
Susan B Allen Memorial HospitalGroup PAC ID 7719898980, 26 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

720 W Central Ave
El Dorado, KS 67042-2112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5238OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Susan B. Allen Memorial Hospital CurrentSince Feb 26, 2024 Accepting new patients
Susan B. Allen Memorial Hospital Current Accepting new patients
Susan B. Allen Memorial Hospital CurrentSince Feb 26, 2024 Accepting new patients
Southwest Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Ahs Oklahoma Physician Group LLC Physician Assistant Past Accepting new patients
Susan B. Allen Memorial Hospital Past Accepting new patients

Locations

620 W Central Ave
El Dorado, KS 67042
Phone (316) 322-4540

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

555 W 15th St
Liberal, KS 67901
Phone (620) 624-0702

2130 N Kansas Ave
Liberal, KS 67901
Phone (316) 626-5060

Interoperability endpoints

  • Direct secure messaging: nwhite1090750@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1336762228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S TRIPLE CROWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307527",
            "telephone_number": "316-737-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S TRIPLE CROWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307527",
            "telephone_number": "316-737-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NATALIE",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.