Individual provider Active NPI

Michael C Wellemeyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1598712853
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54376 Issued in KS
Practice address
6100 E Central Ave
Wichita, KS 67208-4244
Phone
(316) 737-0282
NPI assigned
May 30, 2006
Last updated
May 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54376 KS Primary

Addresses

Primary practice location

6100 E Central Ave
Wichita, KS 67208-4244

Mailing address

330 N Lark LN
Wichita, KS 67212-5492
Phone (316) 722-2758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031105000716 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103738273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesia Team PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2006 Accepting new patients
Midwest Pain Management Center PA Past Accepting new patients
Wichita Anesthesiology Chartered Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
Heartland Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Liberal Anesthesia Consultants LLC Past Accepting new patients

Locations

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

6100 E Central Ave
Ste 5
Wichita, KS 67208
Phone (316) 681-2020

Organizations & group practices 6

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1598712853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N LARK LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125492",
            "telephone_number": "316-722-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084244",
            "telephone_number": "316-737-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLEMEYER",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.