Individual provider Active NPI

Christa L Hamann, ARNP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1386694297
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45121 Issued in KS
Practice address
530 N Ridge Rd Ste B
Wichita, KS 67212-6576
Phone
(316) 616-1055
Fax
(855) 633-0585
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 45121 KS Primary

Addresses

Primary practice location

530 N Ridge Rd Ste B
Wichita, KS 67212-6576

Mailing address

PO Box 929
Chickasha, OK 73023-0929
Phone (316) 616-1055

Other identifiers 1

IdentifierTypeStateIssuer
100428040FMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20221031002465 SD Practitioner - Nurse Practitioner 9830092360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

104 W 2ND St
Alcester, SD 57001-2281
Phone (605) 934-2122

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45121KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Oct 1, 2022 Accepting new patients
Horizon Health Care Inc CurrentSince Oct 1, 2022 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 9, 2022 Accepting new patients
Via Christi Emergency Physician Services, LLC Past Accepting new patients
Wichita Medical Associates, PA PastSince Dec 5, 1992 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

920 Broadway Ave
Yankton, SD 57078
Phone (605) 260-0310

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1386694297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730230929",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N RIDGE RD STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126576",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "CHRISTA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428040F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.