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

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.

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 IDStateProvider typePAC IDDetails
I20061026000366 KS Practitioner - Nurse Practitioner 4486651940

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
319KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Addiction Services Psychiatric/Mental Health Past
since Aug 22, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200405680CMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2020.

{
    "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

All providers in Wichita, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas

Sources for this page

Verify at the official NPI Registry.