Individual provider Active NPI

Carol J O'Mara, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1568418671
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45039 Issued in KS
Practice address
929 N Saint Francis St
ER
Wichita, KS 67214-3821
Phone
(316) 268-5775
Fax
(316) 291-7496
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 45039 KS Primary

Addresses

Primary practice location

929 N Saint Francis St
ER
Wichita, KS 67214-3821

Mailing address

929 N Saint Francis St
ER
Wichita, KS 67214-3821
Phone (316) 268-5775

Other identifiers 3

IdentifierTypeStateIssuer
200004890CMedicaidKS
200004890AMedicaidKS
45039OtherKSARNP LICENSE

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
I20040202000388 KS Practitioner - Nurse Practitioner 5597668897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 283-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45039KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince Jan 1, 2023 Accepting new patients
Newton Healthcare Corporation CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Newton Healthcare Corporation Current Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1568418671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "address_2": "ER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5775",
            "fax_number": "316-291-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "address_2": "ER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5775",
            "fax_number": "316-291-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004890C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004890A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "45039",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.