Individual provider Active NPI

Bryanna Waddell, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1487490546
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5383261101 Issued in KS
Practice address
1923 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 630-9300
Fax
(833) 641-2418
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5383261101 KS Primary

Addresses

Primary practice location

1923 N Webb Rd
Wichita, KS 67206-3405

Mailing address

1923 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300

Other names 1

  • Bryanna Stocker Former name

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
I20240827000677 KS Practitioner - Nurse Practitioner 4880133511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-America Orthopedics LLCGroup PAC ID 1850455759, 30 clinicians

Practice addresses (Care Compare)

1923 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5383261101KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abay Neuroscience Center LLC CurrentSince Jul 29, 2024 Accepting new patients
Mid-America Orthopedics LLC CurrentSince Jan 20, 2026 Accepting new patients
Mid-America Orthopedics, P.a. Past Accepting new patients

Locations

3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667

1923 N Webb Rd
Wichita, KS 67206
Phone (316) 262-4886

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1487490546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "833-641-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "833-641-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "BRYANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5383261101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYANNA",
            "last_name": "STOCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.