Individual provider Active NPI

Mary Carlyn Svoboda, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1629951751
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
84556 Issued in KS
Practice address
3595 N Webb Rd Ste 100
Wichita, KS 67226-8191
Phone
(316) 667-6700
Fax
(316) 667-6701
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 84556 KS Primary

Addresses

Primary practice location

3595 N Webb Rd Ste 100
Wichita, KS 67226-8191

Mailing address

508 N Mission Rd
Wichita, KS 67206-1506
Phone (316) 613-9251

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
I20250822001296 KS Practitioner - Nurse Practitioner 6305346537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Practice addresses (Care Compare)

3595 N Webb Rd
Suite 100
Wichita, KS 67226-8191
Phone (316) 667-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84556KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Mental Health Medicine LLC Single Specialty CurrentSince Jul 14, 2025 Accepting new patients

Locations

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

3595 N Webb Rd
Ste 100
Wichita, KS 67226
Phone (316) 667-6700

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

Organizations & group practices 1

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1629951751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MISSION RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061506",
            "telephone_number": "316-613-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 N WEBB RD STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268191",
            "telephone_number": "316-667-6700",
            "fax_number": "316-667-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "MARY",
        "middle_name": "CARLYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "84556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.