Individual provider Active NPI

Tarina A Gfeller, APRN, CPNP

  • Nurse Practitioner
  • Newton, KS
National Provider Identifier
1700350972
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78547-052 Issued in KS
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6736507OtherAETNA COMMERCIAL
1700350972OtherKSBLUE CROSS BLUE SHIELD
201231940AMedicaidKS
PDZ000000237358OtherKSAETNA BETTER HEALTH
0000701972OtherUNITED HEALTHCARE
25274OtherWPPA

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

LicenseStateTypeSpecialty
53-78547-052KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Pediatrics, PA PastSince Dec 6, 2022 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.

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.

Verify at the official NPI Registry.