Active NPI
Deborah Dunivan, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Junction City, KS
National Provider Identifier
1639769342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN110011498
- Practice address
- 206 E Ash St
Junction City, KS 66441-1439 - Phone
- (785) 775-1128
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-79910-082 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN110011498 | FL | Primary |
Addresses
Primary practice location
206 E Ash St
Junction City, KS 66441-1439
Mailing address
206 E Ash St
Junction City, KS 66441-1439
Phone (785) 775-1128
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318003495 | KS | Practitioner - Nurse Practitioner | 3577972835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79910-082 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN110011498 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katies Way Junction City | Multi-Specialty | Current | Accepting new patients |
Locations
206 E Ash St
Junction City, KS 66441
Phone (785) 775-1128
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 and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
720 Poyntz Ave
Manhattan, KS 66502-6355
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1639769342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E ASH ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411439",
"telephone_number": "785-775-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E ASH ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411439",
"telephone_number": "785-775-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNIVAN",
"first_name": "DEBORAH",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "53-79910-082",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN110011498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.