Individual provider Active NPI

Eileen Murtha, FNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1538659735
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78158 Issued in KS
Practice address
639 S Maize CT
Wichita, KS 67209-1337
Phone
(316) 425-5600
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 78158 KS Primary

Addresses

Primary practice location

639 S Maize CT
Wichita, KS 67209-1337

Mailing address

7233 E Cresthill CT
Wichita, KS 67206-1521
Phone (316) 371-6448

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
I20180620001137 KS Practitioner - Nurse Practitioner 0840545570 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

14430 Metcalf Ave
Overland Park, KS 66223-2989
Phone (913) 897-1414

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Dec 12, 2018 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Jun 1, 2018 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Jun 1, 2018 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

5870 N Hiatus Rd
Ste 200
Tamarac, FL 33321
Phone (954) 377-3172

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

14430 Metcalf Ave
Overland Park, KS 66223
Phone (913) 427-0084

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

639 S Maize Ct
Wichita, KS 67209
Phone (316) 425-5600

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1538659735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E CRESTHILL CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061521",
            "telephone_number": "316-371-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S MAIZE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091337",
            "telephone_number": "316-425-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHA",
        "first_name": "EILEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.