Individual provider Active NPI

Mindy Sue Lovendahl, APRN

  • Family Nurse Practitioner
  • Salina, KS
National Provider Identifier
1376806646
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5375682 Issued in KS
Practice address
520 S. Santa Fe Ave
Suite 300
Salina, KS 67401
Phone
(785) 823-7470
Fax
(785) 823-4356
NPI assigned
Jun 20, 2012
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-75682 KS
Family Nurse Practitioner 363LF0000X 1387344012 KS
Family Nurse Practitioner 363LF0000X 5375682012 KS
Family Nurse Practitioner 363LF0000X 5375682 KS Primary
Primary Care Nurse Practitioner 363LP2300X 5375682 KS

Addresses

Primary practice location

520 S. Santa Fe Ave
Suite 300
Salina, KS 67401

Mailing address

520 S. Santa Fe Ave
Suite 300
Salina, KS 67401
Phone (785) 823-7470

Other identifiers 1

IdentifierTypeStateIssuer
200876720EMedicaidKS

Other names 1

  • Mindy Sue Tremblay Other name

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
I20120821000781 KS Practitioner - Nurse Practitioner 2163679465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CenterGroup PAC ID 6901959436, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2144

701 Schurle Way
Dba Riley Family Physicians
Riley, KS 66531-9576
Phone (785) 485-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1387344012KSMDFamily Nurse Practitioner
53-75682KSMDFamily Nurse Practitioner
5375682KSMDFamily Nurse Practitioner
5375682012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Center Current Accepting new patients
Clay County Medical Center CurrentSince Mar 14, 2024 Accepting new patients
Clay County Medical Center Current Accepting new patients
Clay County Medical Center CurrentSince Mar 14, 2024 Accepting new patients
Comcare, P.a. Past Accepting new patients

Locations

609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

Interoperability endpoints

  • Direct secure messaging: mindy.lovendahl@khindirect.org
  • Direct secure messaging: mindy.lovendahl@srhcdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1376806646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S. SANTA FE AVE",
            "address_2": "SUITE 300",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-823-7470",
            "fax_number": "785-823-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S. SANTA FE AVE",
            "address_2": "SUITE 300",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-823-7470",
            "fax_number": "785-823-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVENDAHL",
        "first_name": "MINDY",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "1387344012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375682012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375682",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "5375682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200876720E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "TREMBLAY",
            "middle_name": "SUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.