Individual provider Active NPI

Kristina Kay Brewster, APRN-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1407360316
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77907-022 Issued in KS
Practice address
8710 W 13TH St N Ste 102
Wichita, KS 67212-6255
Phone
(316) 260-6363
Fax
(316) 260-6301
NPI assigned
Nov 30, 2017
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 53-77907-022 KS Primary

Addresses

Primary practice location

8710 W 13TH St N Ste 102
Wichita, KS 67212-6255

Mailing address

7329 W. Village Cir
Wichita, KS 67205
Phone (316) 260-6363

Other practice location 1

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2239

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
I20180123000249 KS Practitioner - Nurse Practitioner 6002175973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Kansas Wound Specialist P aGroup PAC ID 3678562147, 17 clinicians

Practice addresses (Care Compare)

10346 E Stonegate LN
Suite 100
Wichita, KS 67206-2054
Phone (316) 910-0024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77907-022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Kansas Wound Specialist P a CurrentSince Oct 29, 2023 Accepting new patients
Ict Internal Medicine & Pain Management, LLC CurrentSince Jan 17, 2020 Accepting new patients

Locations

10346 E Stonegate Ln
Ste 100
Wichita, KS 67206
Phone (316) 871-0995

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

7329 W Village Cir
Wichita, KS 67205
Phone (316) 260-6363

8710 W 13th St N
Ste 102
Wichita, KS 67212
Phone (316) 260-6363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1407360316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 W. VILLAGE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-260-6363",
            "fax_number": "316-260-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 W 13TH ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126255",
            "telephone_number": "316-260-6363",
            "fax_number": "316-260-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144910",
            "country_code": "US",
            "telephone_number": "316-962-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "KRISTINA",
        "middle_name": "KAY",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77907-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.