Individual provider Active NPI

Madelyn Kingsley, NP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1649977596
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5382186 Issued in KS
Practice address
3161 N Webb Rd Ste 110
Wichita, KS 67226-8105
Phone
(316) 669-0777
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 5382186 KS Primary

Addresses

Primary practice location

3161 N Webb Rd Ste 110
Wichita, KS 67226-8105

Mailing address

12020 Pacific St
Omaha, NE 68154-3507
Phone (402) 210-2950

Other practice location 1

7701 E Central Ave
Wichita, KS 67206-2100
Phone (316) 729-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5382186KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMMC LLC CurrentSince Nov 24, 2024 Accepting new patients
Maria Medical Group, LLC CurrentSince Jun 5, 2023 Accepting new patients
MJM Kansas Internal Medicine, P.a. PastSince Jun 15, 2021 Accepting new patients

Locations

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

12020 Pacific St
Omaha, NE 68154
Phone (402) 210-2950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1649977596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543507",
            "telephone_number": "402-210-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268105",
            "telephone_number": "316-669-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672062100",
            "country_code": "US",
            "telephone_number": "316-729-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "MADELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5382186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.