Individual provider Active NPI

Antonette B Brungardt, DNP, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1487368775
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13-111791 Issued in KS
Practice address
3232 E Murdock St
Wichita, KS 67208-3003
Phone
(316) 685-7234
Fax
(316) 685-0317
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 13-111791 KS Primary

Addresses

Primary practice location

3232 E Murdock St
Wichita, KS 67208-3003

Mailing address

3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL awhobgyn.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
I20230215000730 KS Practitioner - Nurse Practitioner 4789056086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Womens Health PAGroup PAC ID 7214903814, 28 clinicians

Practice addresses (Care Compare)

3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-111791KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Womens Health PA CurrentSince Feb 1, 2023 Accepting new patients

Locations

3232 E Murdock St
Wichita, KS 67208
Phone (316) 681-0251

Interoperability endpoints

  • Direct secure messaging: antonette.brungardt.p1@direct.awhobgyn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1487368775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234",
            "fax_number": "316-685-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234",
            "fax_number": "316-685-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGARDT",
        "first_name": "ANTONETTE",
        "middle_name": "B",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-111791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "awhobgyn.com",
            "affiliation": "N",
            "address_1": "3232 E Murdock St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672083003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.