Individual provider Active NPI

Annette Diane Vananne, ARNP, CNM

  • Family Nurse Practitioner
  • Iola, KS
National Provider Identifier
1386846475
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45194 Issued in KS
Practice address
2051 N State St
Iola, KS 66749-1677
Phone
(620) 380-6600
Fax
(620) 380-6215
NPI assigned
Jun 1, 2007
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220441 OK
Family Nurse Practitioner 363LF0000X 45194 KS Primary

Addresses

Primary practice location

2051 N State St
Iola, KS 66749-1677

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (888) 777-9170

Other practice location 1

1223 Swan Dr
Bartlesville, OK 74006-5037
Phone (888) 777-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050425001241 KS Practitioner - Nurse Practitioner 1850330382 Reassigns benefits to 3 organizations
I20241225000037 OK Practitioner - Nurse Practitioner 1850330382 Reassigns benefits to 1 organization

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
Coffey County HospitalGroup PAC ID 4981598653, 15 clinicians
Community Health Center of Southeast Kansas IncGroup PAC ID 7911816392, shared by 26 NPIs, 111 clinicians
Coffey County Medical CenterGroup PAC ID 4880588391, 14 clinicians

Practice addresses (Care Compare)

110 S 6TH St
Suite 202
Burlington, KS 66839-1798

1223 Swan Dr
Bartlesville, OK 74006-5037
Phone (918) 214-8081

2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600

309 Sanders St
Burlington, KS 66839-2616
Phone (620) 364-5395

801 N 4TH St
Burlington, KS 66839-2602
Phone 62036421214182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220441OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc CurrentSince Dec 17, 2024 Accepting new patients
Community Health Center of Southeast Kansas, Inc. Current Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Aug 28, 2023 Accepting new patients
Coffey County Hospital CurrentSince May 26, 2020 Accepting new patients
Coffey County Hospital CurrentSince May 26, 2020 Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Coffey County Medical Center CurrentSince May 26, 2020 Accepting new patients
Coffey County Medical Center Past Accepting new patients
Southeast Kansas Physician Associates, L.L.C. PastSince May 17, 2007 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients
Coffey County Medical Center Past Accepting new patients
Coffey County Hospital Past Accepting new patients

Locations

601 E Washington St
Arma, KS 66712
Phone (620) 347-4033

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989

1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101

124 S Highschool Ave
Columbus, KS 66725

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-8040

312 S Maple St
Garnett, KS 66032
Phone (785) 448-6788

1216 Hawaii Rd
Humboldt, KS 66748
Phone (620) 473-1002

203 N Kentucky St
Iola, KS 66749

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 717-4450

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312

1223 Swan Dr
Bartlesville, OK 74006
Phone (918) 214-8081

Interoperability endpoints

  • Direct secure messaging: annette.vananne@chcsek.eclinicaldirectplus.com
  • Direct secure messaging: avananne@coffeyhealthdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCSEK

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1386846475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "888-777-9170",
            "fax_number": "620-232-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N STATE ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491677",
            "telephone_number": "620-380-6600",
            "fax_number": "620-380-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Swan Dr",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740065037",
            "country_code": "US",
            "telephone_number": "888-777-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANANNE",
        "first_name": "ANNETTE",
        "middle_name": "DIANE",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.