Individual provider Active NPI

Kara R Nabbout, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1497330005
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80063-092 Issued in KS
Practice address
1911 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 682-7546
Fax
(316) 682-7554
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 53-80063-092 KS Primary

Addresses

Primary practice location

1911 N Webb Rd
Wichita, KS 67206-3405

Mailing address

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

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
I20210504003042 KS Practitioner - Nurse Practitioner 7113336173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Dermatology LLCGroup PAC ID 7315360716, 7 clinicians

Practice addresses (Care Compare)

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
89.77
Improvement activities
40
Cost
84.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-80063-092KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Dermatology LLC Moeller Dermatology CurrentSince May 1, 2021 Accepting new patients

Locations

4013 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 682-7546

1911 N Webb Rd
Wichita, KS 67206
Phone (316) 682-7546

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1497330005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABBOUT",
        "first_name": "KARA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80063-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.