Individual provider Active NPI

Kristin Danielle Kenyon, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1679296586
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81562-102 Issued in KS
Practice address
551 N Hillside St Ste 200
Wichita, KS 67214-4923
Phone
(316) 263-0296
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81562 KS
Nurse Practitioner 363L00000X 53-81562-102 KS Primary

Addresses

Primary practice location

551 N Hillside St Ste 200
Wichita, KS 67214-4923

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone (316) 263-0296

Other practice location 1

818 N Emporia St Ste 200
Wichita, KS 67214-3726
Phone (316) 263-0296

Other practice location 2

9350 E 35th St N Ste 103
Wichita, KS 67226-2022
Phone (316) 858-5000

Other names 1

  • Kristin Danielle Riney Former name

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
I20230118002703 KS Practitioner - Nurse Practitioner 3971974593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

551 N Hillside St
Suite 201
Wichita, KS 67214-4923
Phone (316) 263-0296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81562KSMDNurse Practitioner
53-81562-102KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA CurrentSince Jan 3, 2023 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1679296586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144925",
            "telephone_number": "316-263-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-263-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 N Emporia St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143726",
            "country_code": "US",
            "telephone_number": "316-263-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 E 35th St N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-858-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYON",
        "first_name": "KRISTIN",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81562",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81562-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "RINEY",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.