Individual provider Active NPI

Maureen Evans, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1518551670
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80030 Issued in KS
Practice address
551 N Hillside St Ste 510
Wichita, KS 67214-4928
Phone
(316) 685-0559
Fax
(316) 685-0455
NPI assigned
Mar 1, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 53-80030 KS Primary

Addresses

Primary practice location

551 N Hillside St Ste 510
Wichita, KS 67214-4928

Mailing address

551 N Hillside St Ste 510
Wichita, KS 67214-4928
Phone (316) 685-0559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klong@wichitaobgyn.org Direct

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
I20210317000873 KS Practitioner - Nurse Practitioner 6901212950 Reassigns benefits to 1 organization

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 OB-GYN Associates, PAGroup PAC ID 2163689290, 4 clinicians

Practice addresses (Care Compare)

551 N Hillside St
Suite 510
Wichita, KS 67214-4928
Phone (316) 685-0559

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita OB-GYN Associates, PA CurrentSince Mar 8, 2021 Accepting new patients

Locations

551 N Hillside St
Ste 510
Wichita, KS 67214
Phone (316) 219-8054

Interoperability endpoints

  • Direct secure messaging: maureen.evans.1@14687.direct.athenahealth.com

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1518551670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MAUREEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klong@wichitaobgyn.org",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "551 N Hillside St Ste 510",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.