Individual provider Active NPI

Vanessa Doan, APRN

  • Family Nurse Practitioner
  • Garden City, KS
National Provider Identifier
1356066252
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81595 Issued in KS
Practice address
1021 Fleming St
Garden City, KS 67846-6252
Phone
(620) 287-2010
Fax
(620) 260-9900
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81595 KS Primary

Addresses

Primary practice location

1021 Fleming St
Garden City, KS 67846-6252

Mailing address

1021 Fleming St
Garden City, KS 67846-6252
Phone (620) 287-2010

Other identifiers 1

IdentifierTypeStateIssuer
81595OtherKSKANSAS LICENSE

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
I20221020001665 KS Practitioner - Nurse Practitioner 2860868528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1021 Fleming St
Garden City, KS 67846-6252
Phone (620) 287-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Hospital CurrentSince Oct 24, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Mar 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Mar 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

1021 Fleming St
Garden City, KS 67846
Phone (620) 277-2010

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1356066252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 FLEMING ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466252",
            "telephone_number": "620-287-2010",
            "fax_number": "620-260-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FLEMING ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466252",
            "telephone_number": "620-287-2010",
            "fax_number": "620-260-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "VANESSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "81595",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.