Lila Peckham-Wichman, APRN, CNS, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

45223 Issued in KS

Practice address

8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604

Phone

(913) 677-3553

Fax

(913) 677-3282

NPI assigned

May 1, 2006

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• Pawnee Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1275580524
  Medicare reassignment Care Compare group
• Clinical Associates PA

  • Specialist
  • Lenexa, KS
  • NPI 1477588085
  NPD (past)
• FSS Psychiatric, LLC

  dba Psychiatric Professional Association

  • Psychiatry Physician
  • Lenexa, KS
  • NPI 1699730846
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1366409427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 BLUEJACKET ST",
            "address_2": "SUITE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141604",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8629 BLUEJACKET ST",
            "address_2": "SUITE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141604",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM-WICHMAN",
        "first_name": "LILA",
        "credential": "APRN, CNS, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74418",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "45223",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "35005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100405690C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahul Pawa, M.D.
• Nicholas Matthew Payne, LSCSW
• Pear Suite Provider Group KS, P.a.
• Shawn Pearcy, RN, CCM
• Marcus Peavler, DC
• Alyssa Michelle Pellinghelli
• John Gage Pemberton
• Barbara Ann Penn, MA, MT-BC
• Andrea Lynn Percy, MS CCC-SLP
• Lizeth Soledad Perez Ortiz, SA-C CSA CSA CST

• Psychiatric/Mental Health Nurse Practitioner in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.