Stacie Hinkel Wetta, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78154 Issued in KS

Practice address

9350 E 35TH St N Ste 101
Wichita, KS 67226

Phone

(316) 265-1308

Fax

(316) 265-4480

NPI assigned

Jul 18, 2016

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1417300294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262022",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTA",
        "first_name": "STACIE",
        "middle_name": "HINKEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.cardiovascularconsultantsofks@ccme.com",
            "affiliation": "N",
            "address_1": "9350 E 35th St N Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elissa Westbrook, DPT
• Shantel R Westbrook, LMLP/LCP
• Sandra Westerman
• K.C. Lowrance Wetta, APRN
• Luke A Wetta, CRNA
• Carey Jo Wettstein, NP-C
• Casey Jeanette Wettstein, NP-C
• Jill Nicole Wettstein, APRN
• David Eugene Wewers, PHARMD
• Monica Whalen

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.