Individual provider Active NPI

Mary Jo Nixon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, KS
National Provider Identifier
1528830643
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
82625 Issued in KS
Practice address
1901 E 1St St
Newton, KS 67114-5010
Phone
(316) 284-6400
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 82625 KS Primary

Addresses

Primary practice location

1901 E 1St St
Newton, KS 67114-5010

Mailing address

1901 E 1St St
Newton, KS 67114-5010

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
I20240425001570 KS Practitioner - Nurse Practitioner 8224478128 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
Prairie View IncGroup PAC ID 5496652471, 27 clinicians

Practice addresses (Care Compare)

1901 E 1St St
Newton, KS 67114-5010
Phone (316) 284-6400

1901 E 1St St
PO Box 467
Newton, KS 67114-0467

PO Box
Suite 467
Newton, KS 67114-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. CurrentSince Mar 16, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Prairie View Inc Past Accepting new patients

Locations

508 S Ash St
Hillsboro, KS 67063
Phone (620) 947-2396

1102 Hospital Dr
McPherson, KS 67460
Phone (620) 245-5000

1901 E 1st St
Newton, KS 67114
Phone (316) 284-6400

7570 W 21st St N
Ste 1026D
Wichita, KS 67205
Phone (316) 729-6555

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1528830643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "82625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.