Individual provider Active NPI

Kerry May Nantsis, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1366870164
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76161-102 Issued in KS
Practice address
620 N Carriage Pkwy
Wichita, KS 67208-4501
Phone
(316) 962-3100
Fax
(316) 962-3132
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 53-76161-102 KS Primary

Addresses

Primary practice location

620 N Carriage Pkwy
Wichita, KS 67208-4501

Mailing address

PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3100

Other names 1

  • Miss Kerry May Quam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KERRY.NANTSIS@hca3.eclinicaldirectplus.com

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
I20140502001775 KS Practitioner - Nurse Practitioner 6406089176 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76161-102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC CurrentSince Jul 30, 2018 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc PastSince Feb 7, 2022 Accepting new patients
Kansas Physicians Group, LLC Past Accepting new patients

Locations

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

620 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 962-3100

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Interoperability endpoints

  • Direct secure messaging: kerry.nantsis@hca3.eclinicaldirectplus.com

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1366870164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017490",
            "telephone_number": "316-962-3100",
            "fax_number": "316-962-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CARRIAGE PKWY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084501",
            "telephone_number": "316-962-3100",
            "fax_number": "316-962-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTSIS",
        "first_name": "KERRY",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76161-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KERRY.NANTSIS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "620 N Carriage Pkwy",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672084501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "QUAM",
            "middle_name": "MAY",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.