Individual provider Active NPI

Kayanne Joyce Meitler, ARNP

  • Nurse Practitioner
  • Russell, KS
National Provider Identifier
1710979265
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1339486 Issued in KS
Practice address
222 S Kansas St
Russell, KS 67665-3000
Phone
(785) 483-3333
Fax
(785) 483-0781
NPI assigned
Aug 19, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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 1339486 KS Primary

Addresses

Primary practice location

222 S Kansas St
Russell, KS 67665-3000

Mailing address

222 S Kansas St
Russell, KS 67665-3000
Phone (785) 483-3333

Other identifiers 2

IdentifierTypeStateIssuer
100399200AMedicaidKS
160545OtherKSBCBS

Other names 1

  • Kayanne Joyce Hladek Former name

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
I20041018000962 KS Practitioner - Nurse Practitioner 6709846694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1339486KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Nurse Practitioner CurrentSince Dec 8, 2024 Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

611 31st St
Wilson, KS 67490
Phone (785) 658-2504

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1710979265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S KANSAS ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676653000",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S KANSAS ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676653000",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEITLER",
        "first_name": "KAYANNE",
        "middle_name": "JOYCE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "1339486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100399200A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "160545",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYANNE",
            "last_name": "HLADEK",
            "middle_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.