Individual provider Active NPI

Kimberly Dawn Hornbaker, APRN

  • Acute Care Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1437320819
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53-46179 Issued in KS
Practice address
2135 N Collective LN
Wichita, KS 67206-3560
Phone
(316) 261-3221
Fax
(316) 261-3298
NPI assigned
Mar 13, 2008
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 53-46179 KS Primary
Registered Nurse 163W00000X 13-92014 KS

Addresses

Primary practice location

2135 N Collective LN
Wichita, KS 67206-3560

Mailing address

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3221

Other names 1

  • Kimberly Dawn Canfield Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khornbaker@ncks.org.direct.emds.com

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
I20080528000684 KS Practitioner - Nurse Practitioner 1153491519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Kansas LLCGroup PAC ID 0840222832, 11 clinicians

Practice addresses (Care Compare)

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-92014KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Kansas LLC CurrentSince Oct 20, 2014 Accepting new patients
Kansas Orthopaedic Center, P.a. Past Accepting new patients
Kansas Imaging Consultants, PA PastSince Oct 20, 2014 Accepting new patients

Locations

2131 N Collective Ln
Wichita, KS 67206

2135 N Collective Ln
Wichita, KS 67206
Phone (316) 261-3220

3450 N Rock Rd
Ste 503
Wichita, KS 67226
Phone (316) 261-3220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD
  • Direct secure messaging: khornbaker@ncks.org.direct.emds.com
  • Direct secure messaging: kimberly.hornbaker@khindirect.org

Organizations & group practices 3

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1437320819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3221",
            "fax_number": "316-261-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3221",
            "fax_number": "316-261-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBAKER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-46179",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-92014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khornbaker@ncks.org.direct.emds.com",
            "affiliation": "N",
            "address_1": "2135 N Collective Ln",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CANFIELD",
            "middle_name": "DAWN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.