Individual provider Active NPI

Eleanor G Millsap, ARNP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1356379978
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44970 Issued in KS
Practice address
1315 N West St
Wichita, KS 67203-1382
Phone
(316) 943-1295
NPI assigned
Jun 30, 2006
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 44970 KS Primary

Addresses

Primary practice location

1315 N West St
Wichita, KS 67203-1382

Mailing address

6120 Shadybrook St
Wichita, KS 67208-1862
Phone (316) 269-5000

Other identifiers 3

IdentifierTypeStateIssuer
161720OtherKSBLUECROSS BLUESHIELD KS
P00353059OtherRAIL ROAD MEDICARE
200381990AMedicaidKS

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
I20060822000291 KS Practitioner - Nurse Practitioner 5193728707 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44970KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health Care LLC CurrentSince Jun 1, 2019 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 20, 2013 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Mar 20, 2013 Accepting new patients
Kansas Long Term Care Physicians, LLC Past Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

10604 E 13th St N
Wichita, KS 67206
Phone (316) 337-5400

1131 S Clifton Ave
Ste B
Wichita, KS 67218
Phone (316) 462-1040

1315 N West St
Wichita, KS 67203
Phone (316) 943-1294

1541 N Lindberg Cir
Wichita, KS 67206
Phone (316) 258-5882

8080 E Pawnee St
Wichita, KS 67207
Phone (316) 652-0526

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1356379978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081862",
            "telephone_number": "316-269-5000",
            "fax_number": "316-269-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031382",
            "telephone_number": "316-943-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSAP",
        "first_name": "ELEANOR",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD KS",
            "identifier": "161720",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00353059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381990A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.