Active NPI
Tarina A Gfeller, APRN, CPNP
- Nurse Practitioner
- Newton, KS
National Provider Identifier
1700350972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-78547-052
- Practice address
- 700 Medical Center Dr
Ste 150
Newton, KS 67114-9015 - Phone
- (316) 283-7100
- Fax
- (316) 283-7118
- NPI assigned
- Jan 21, 2019
- Last updated
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-78547-052 | KS | Primary |
Addresses
Primary practice location
700 Medical Center Dr
Ste 150
Newton, KS 67114-9015
Mailing address
PO Box 725
Newton, KS 67114-0725
Phone (316) 283-3627
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6736507 | Other | AETNA COMMERCIAL | |
| 1700350972 | Other | KS | BLUE CROSS BLUE SHIELD |
| 201231940A | Medicaid | KS | |
| PDZ000000237358 | Other | KS | AETNA BETTER HEALTH |
| 0000701972 | Other | UNITED HEALTHCARE | |
| 25274 | Other | WPPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78547-052 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Pediatrics, PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Newton, KS
- NPI 1407859119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1700350972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140725",
"telephone_number": "316-283-3627",
"fax_number": "316-283-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MEDICAL CENTER DR",
"address_2": "STE 150",
"city": "NEWTON",
"state": "KS",
"postal_code": "671149015",
"telephone_number": "316-283-7100",
"fax_number": "316-283-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GFELLER",
"first_name": "TARINA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-78547-052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA COMMERCIAL",
"identifier": "6736507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1700350972",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201231940A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH",
"identifier": "PDZ000000237358",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0000701972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPPA",
"identifier": "25274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.