Individual provider Active NPI

Martha Mary McCabe, APRN

  • Family Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1417426966
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78400-012 Issued in KS
Practice address
2100 N Waldron St
Hutchinson, KS 67502-1175
Phone
(620) 833-0960
Fax
(833) 615-2260
NPI assigned
Nov 14, 2018
Last updated
Nov 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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 53-78400-012 KS Primary

Addresses

Primary practice location

2100 N Waldron St
Hutchinson, KS 67502-1175

Mailing address

2020 N Newberry St
Derby, KS 67037-2292
Phone (316) 308-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190821002898 KS Practitioner - Nurse Practitioner 8123361276 Reassigns benefits to 2 organizations
I20191226000418 OK Practitioner - Nurse Practitioner 8123361276 Reassigns benefits to 3 organizations
I20250826002170 MO Practitioner - Nurse Practitioner 8123361276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehp of Ponca City LLCGroup PAC ID 1850828948, 21 clinicians
Total Wound Care of MissouriGroup PAC ID 4183122807, 5 clinicians
Total Wound Care of Kansas LLCGroup PAC ID 2860846664, 12 clinicians

Practice addresses (Care Compare)

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

800 E 101St Ter
Suite 350
Kansas City, MO 64131-5310
Phone (405) 246-0811

9300 E 29TH St N
Suite 205
Wichita, KS 67226-2183
Phone (405) 246-0811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78400-012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Aug 11, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 11, 2019 Accepting new patients
Total Wound Care of Missouri CurrentSince Aug 12, 2025 Accepting new patients
Total Wound Care of Kansas LLC CurrentSince Jun 9, 2025 Accepting new patients
Ehp of Ponca City LLC CurrentSince Feb 1, 2025 Accepting new patients
Total Wound Care of Oklahoma, LLC CurrentSince Jun 9, 2025 Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

9300 E 29th St N
Ste 205
Wichita, KS 67226
Phone (316) 219-4763

800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 226-2595

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1417426966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N NEWBERRY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372292",
            "telephone_number": "316-308-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021175",
            "telephone_number": "620-833-0960",
            "fax_number": "833-615-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "MARTHA",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78400-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.