Kristy Provence, APRN, BSN, WCC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-82741-021 Issued in KS

Practice address

15845 Gardner West Rd
Gardner, KS 66030-9507

Phone

(913) 207-5089

Fax

(913) 273-1094

NPI assigned

Dec 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houser Swierczek LLCGroup PAC ID 0042672495, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Houser Swierczek LLC

  • Nurse Practitioner
  • Leawood, KS
  • NPI 1568141976

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1346018686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15845 GARDNER WEST RD",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660309507",
            "telephone_number": "913-207-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15845 GARDNER WEST RD",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660309507",
            "telephone_number": "913-207-5089",
            "fax_number": "913-273-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENCE",
        "first_name": "KRISTY",
        "credential": "APRN, BSN, WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "KS",
            "license": "116337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82741-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pinnacle Health Facilities Xviii LP
• Primary Care of Kansas Inc
• Stephanie R Radke-Pence, APRN, FNP-BC
• Melanie Lee Ransom Landau, PHARMD
• Recover-Care Meadowbrook Rehabilitation LLC
• Recover-Care Meadowbrook Rehabilitation LLC
• Recover-Care Meadowbrook Rehabilitation LLC

• Family Nurse Practitioner in Gardner, KS
• Providers in Gardner, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.