Cereasa Leeann Patterson, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-80521-032 Issued in KS

Practice address

961 S Glendale St
Wichita, KS 67218-3210

Phone

(316) 618-9555

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cereasa Leeann Moore Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care KS PAGroup PAC ID 6002230349, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cereasa.patterson@centerwell.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/26892/brand/1/csg/1/fhir/r4

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.

• Centerwell Senior Primary Care KS PA

  • Internal Medicine Physician
  • Olathe, KS
  • NPI 1013438654
  Medicare reassignment Care Compare group NPD
• House Call Medical Services

  • Primary Care Nurse Practitioner
  • Wichita, KS
  • NPI 1417276791
  Medicare reassignment NPD
• Centerwell Senior Primary Care KS PA

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1013737576
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1669048211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 S GLENDALE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183210",
            "telephone_number": "316-618-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 E 13th St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672142102",
            "country_code": "US",
            "telephone_number": "316-867-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CEREASA",
        "middle_name": "LEEANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-134071-032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80521-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cereasa.patterson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "961 S Glendale St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672183210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CEREASA",
            "last_name": "MOORE",
            "middle_name": "LEEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Marie Meyer Patry, LCSW, MSW
• Patsy Barker MD PA
• Courtney Patterson-Manfredi, APRN
• Benjamin Richard Patterson, OTR/L
• Brandt Dalton Patterson
• Dawn Annjeanette Patterson, LSCSW
• Joanna L Patterson, P.A.
• Jody C Patterson, LMLP
• Kaitlyn Patterson
• Kerri Patterson, PHARMD

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.

Verify at the official NPI Registry.