Individual provider Active NPI

Melissa Anne Bailey, MSN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1699217034
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5377455091 Issued in KS
Practice address
10100 E Shannon Woods St Ste 100
Wichita, KS 67226-4104
Phone
(316) 219-8299
Fax
(316) 219-5899
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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 5377455091 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods St Ste 100
Wichita, KS 67226-4104

Mailing address

1700 E 9TH Ave
Winfield, KS 67156-3220

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
I20170616001362 KS Practitioner - Nurse Practitioner 0547538480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Kansas School of Medicine Wichita Medical Practice Assoc 54 clinicians

Practice addresses (Care Compare)

1001 N Minneapolis St
Wichita, KS 67214-3127
Phone (316) 293-2647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5377455091KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Joint & Spine Specialists, LLC CurrentSince May 30, 2017 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc CurrentSince Jan 3, 2023 Accepting new patients
Kansas Joint & Spine Specialists, LLC CurrentSince May 30, 2017 Accepting new patients

Locations

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

10100 E Shannon Woods Cir
Ste 100
Wichita, KS 67226

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

1001 N Minneapolis St
Wichita, KS 67214
Phone (316) 293-1840

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1699217034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS ST STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-219-8299",
            "fax_number": "316-219-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5377455091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.