Individual provider Active NPI

Lara Lenea Kaljumaa, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1699293084
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77833 Issued in KS
Practice address
1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone
(316) 260-4110
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 77833 KS Primary

Addresses

Primary practice location

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137

Mailing address

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone (316) 260-4110

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
I20170921002579 KS Practitioner - Nurse Practitioner 3476827957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermes Healthcare PAGroup PAC ID 4284953399, 12 clinicians

Practice addresses (Care Compare)

3343 W Central Ave
Wichita, KS 67203-4917
Phone (316) 260-4110

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
87.87
Promoting interoperability
81
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77833KSMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1699293084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-260-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-260-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALJUMAA",
        "first_name": "LARA",
        "middle_name": "LENEA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.