Individual provider Active NPI

Sarah Blosser, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, KS
National Provider Identifier
1407404486
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
79514 Issued in KS
Practice address
217 W Ira CT
Andover, KS 67002-9469
Phone
(316) 733-5047
NPI assigned
Sep 3, 2019
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 79514 KS Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 127818 KS

Addresses

Primary practice location

217 W Ira CT
Andover, KS 67002-9469

Mailing address

520 E Augusta Ave
Augusta, KS 67010-2100
Phone (316) 775-5491

Other identifiers 1

IdentifierTypeStateIssuer
79514OtherKSAPRN

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
I20200811003853 KS Practitioner - Nurse Practitioner 6103242961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sumner Mental Health CenterGroup PAC ID 1759337959, 14 clinicians
Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Practice addresses (Care Compare)

1601 W 16TH St
Wellington, KS 67152-8125
Phone (620) 326-7448

3460 N Ridge Rd
Suite 120
Wichita, KS 67205-1223
Phone (316) 272-0800

9333 E 21St St N
Suite 102
Wichita, KS 67206-2927
Phone (316) 766-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127818KSMDPsychiatric/Mental Health Registered Nurse
79514KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Mental Health Center CurrentSince Jul 23, 2020 Accepting new patients
South Central Mental Health Counseling Center, Inc. CurrentSince Jun 26, 2020 Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince Jun 26, 2020 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Sep 8, 2019 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

217 W Ira Ct
Andover, KS 67002
Phone (316) 733-5047

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

520 E Augusta Ave
Augusta, KS 67010
Phone (316) 322-0253

1601 W 16th St
Wellington, KS 67152
Phone (316) 326-7448

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

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, 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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1407404486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E AUGUSTA AVE",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670102100",
            "telephone_number": "316-775-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W IRA CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029469",
            "telephone_number": "316-733-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSER",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "79514",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "127818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "79514",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.