Ana Sarra Ahrens, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Wichita, KS
NPI 1508962945 · NPPES record last updated Jun 18, 2020
Key facts
- NPI
- 1508962945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 45936 (KS)
- Practice address
- 1919 N Amidon Ave Ste 317
Wichita, KS 67203-2120 - Phone
- (316) 201-1676
- Fax
- (316) 201-1762
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061026000366 | KS | Practitioner - Nurse Practitioner | 4486651940 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health and Addiction Services | Psychiatric/Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 319 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 45936 | KS | Yes |
Addresses
Primary practice location
1919 N Amidon Ave Ste 317
Wichita, KS 67203-2120
Mailing address
1919 N Amidon Ave Ste 317
Wichita, KS 67203-2120
Phone (316) 201-1676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200405680C | Medicaid | KS |
NPI Registry JSON
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1508962945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 N AMIDON AVE STE 317",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032120",
"telephone_number": "316-201-1676",
"fax_number": "316-201-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N AMIDON AVE STE 317",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032120",
"telephone_number": "316-201-1676",
"fax_number": "316-201-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHRENS",
"first_name": "ANA",
"middle_name": "SARRA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "319",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "45936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200405680C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Brandon Ahlstedt
- Richard A Ahlstrand
- Ali Ahmad
- Bushra S Ahmed
- Saniya Ruqiah Ahmed
- Austin Ahrens
- Donald W Ahrens Jr.
- Mahreen Ahsan
- Aidcare LLC
- Channing Shea Aiken
All providers in Wichita, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.