Nicole Marie Wampler, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2847 Issued in KS

Practice address

10100 W 119TH St Ste 150
Overland Park, KS 66213-4100

Phone

(913) 754-0061

Fax

(913) 338-1311

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole M Specht Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.84 of 100Reported as group

Quality

78.92

Promoting interoperability

99

Improvement activities

40

Cost

71.37

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Overland Park Surgical Specialties LLC

  dba College Park Family Care Center Physicians Group

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1760798540
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1689366650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W 119TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134100",
            "telephone_number": "913-754-0061",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SPECHT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Ray Waltman III, CRNA
• Gina Marie Waltmire, MS, LCMFT
• Becky Waltner, APRN
• Mark Stephen Walton, M.D.
• Nicole M Walton, APRN
• John KP Wang, D.D.S.
• Shirley Y Wang, M.D.
• Sidney W Wang, M.D.
• Yaqiong Wang, PT, DPT
• Valentine Wangombe

• Registered Dietitian in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.