Individual provider Active NPI

Rachel Wilson, APRN

  • Family Nurse Practitioner
  • Emporia, KS
National Provider Identifier
1609257708
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76789-082 Issued in KS
Practice address
1211 Stanton St
Emporia, KS 66801-6158
Phone
(620) 208-9888
Fax
(620) 412-8058
NPI assigned
Jun 15, 2015
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 53-76789-082 KS Primary

Addresses

Primary practice location

1211 Stanton St
Emporia, KS 66801-6158

Mailing address

1885 Spring Creek Rd
Cottonwood Falls, KS 66845-9908
Phone (620) 255-4979

Other identifiers 1

IdentifierTypeStateIssuer
53-76789OtherKSLICENSE

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
I20150709002679 KS Practitioner - Nurse Practitioner 0244542884 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76789-082KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Charisse Symmonds, LLC CurrentSince Jul 28, 2024 Accepting new patients
Hospital District No 1 Marion Co Current Accepting new patients
Morris County Hospital CurrentSince Jan 1, 2022 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Hospital District No 1 Marion Co CurrentSince Dec 1, 2015 Accepting new patients
Morris County Hospital CurrentSince Jan 1, 2022 Accepting new patients
Hospital District No 1 Marion Co CurrentSince Dec 1, 2015 Accepting new patients
Morton County Hospital CurrentSince Sep 27, 2021 Accepting new patients
Morton County Hospital CurrentSince Sep 27, 2021 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 30, 2020 Accepting new patients
Morton County Hospital Current Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 30, 2020 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

411 S Walnut St
Cottonwood Falls, KS 66845
Phone (620) 273-6131

600 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

604 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

411 Sunset St
Elkhart, KS 67950
Phone (620) 697-2141

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1211 Stanton St
Emporia, KS 66801
Phone (620) 208-9888

1301 W 12th Ave
Ste 207
Emporia, KS 66801
Phone (620) 342-4278

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1609257708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 SPRING CREEK RD",
            "city": "COTTONWOOD FALLS",
            "state": "KS",
            "postal_code": "668459908",
            "telephone_number": "620-255-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STANTON ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016158",
            "telephone_number": "620-208-9888",
            "fax_number": "620-412-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76789-082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "53-76789",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.