Annette Diane Vananne, ARNP, CNM
Individual provider Active NPI Family Nurse Practitioner · Iola, KS
NPI 1386846475 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1386846475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 45194 (KS)
- Practice address
- 2051 N State St
Iola, KS 66749-1677 - Phone
- (620) 380-6600
- Fax
- (620) 380-6215
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coffey County Hospital
Community Health Center of Southeast Kansas Inc
Coffey County Medical Center
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
- Coffey County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050425001241 | KS | Practitioner - Nurse Practitioner | 1850330382 | Reassigns benefits to 3 organizations |
| I20241225000037 | OK | Practitioner - Nurse Practitioner | 1850330382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45194 | KS | MD | Family Nurse Practitioner |
| 220441 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffey County Hospital | Current |
Accepting new patients | |
| Coffey County Medical Center | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Current |
Accepting new patients | |
| Coffey County Hospital | Current |
Accepting new patients | |
| Southeast Kansas Physician Associates, L.L.C. | Past |
Accepting new patients | |
| Coffey County Medical Center | Past | Accepting new patients | |
| Coffey County Hospital | Past | Accepting new patients | |
| Coffey County Medical Center | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | 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
801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121
309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989
1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798
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) 223-0135
312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988
1216 Hawaii Rd
Humboldt, KS 66748
Phone (620) 473-1002
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
203 N Kentucky St
Iola, KS 66749
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) 421-2159
1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
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
- https://fhir4.healow.com/fhir/r4/CHCSEK
- annette.vananne@chcsek.eclinicaldirectplus.com
- avananne@coffeyhealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220441 | OK | |
| Family Nurse Practitioner | 363LF0000X | 45194 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100404580C | Medicaid | KS |
Other providers in Iola, KS
- Thrive Allen County
- Emily Trammell
- John Anthony Travers Jr.
- Unified School District #257
- Erik Russell Unruh
- Katlyn Vanatta
- Shane Venteicher
- Vernon G. Lee, D.D.S., PA
- Ashlin M Wait
- Shane Patrick Walden
All providers in Iola, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.