Individual provider Active NPI

Melanie Louise Hartley, NP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1396407078
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79986-032 Issued in KS
Practice address
10222 W 21St St N
Wichita, KS 67205-1836
Phone
(316) 729-1537
NPI assigned
Oct 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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 53-79986-032 KS Primary

Addresses

Primary practice location

10222 W 21St St N
Wichita, KS 67205-1836

Mailing address

4444 101St Rd
Rock, KS 67131-9015
Phone (620) 262-7617

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
I20211025003095 KS Practitioner - Nurse Practitioner 1254729205 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Newton Memorial Hospital Current Accepting new patients
William Newton Memorial Hospital CurrentSince May 8, 2023 Accepting new patients
William Newton Memorial Hospital CurrentSince May 8, 2023 Accepting new patients
William Newton Memorial Hospital Past Accepting new patients

Locations

200 N Plum St
Moline, KS 67353
Phone (620) 647-8109

300 W North St
Sedan, KS 67361
Phone (620) 725-3115

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

1230 E 6th Ave
Ste 1B
Winfield, KS 67156
Phone (620) 221-4000

1700 E 9th Ave
Winfield, KS 67156
Phone (620) 221-0110

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wnewton-396b17e2

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1396407078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 101ST RD",
            "city": "ROCK",
            "state": "KS",
            "postal_code": "671319015",
            "telephone_number": "620-262-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051836",
            "telephone_number": "316-729-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "MELANIE",
        "middle_name": "LOUISE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79986-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.