Individual provider Active NPI

Hannah Jesse Colstrom, AGPCNP

  • Gerontology Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1720722622
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
80713 Issued in KS
Practice address
634 SW Mulvane St
Topeka, KS 66606-1678
Phone
(785) 295-7979
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 80713 KS Primary

Addresses

Primary practice location

634 SW Mulvane St
Topeka, KS 66606-1678

Mailing address

617 W 5TH St
Lebo, KS 66856-9351
Phone (785) 806-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
80713KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Health Solutions of Kansas LLC CurrentSince Dec 12, 2022 Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

2337 G St
Ste 100
Belleville, KS 66935
Phone (785) 220-8570

1200 S Broadway St
Louisburg, KS 66053
Phone (913) 837-2916

6416 Long Ave
Shawnee Msn, KS 66216
Phone (913) 631-2146

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

634 SW Mulvane St
Ste 100
Topeka, KS 66606
Phone (785) 270-7692

300 Tice Blvd
Woodcliff Lake, NJ 07677
Phone (201) 949-4177

2420 Knapp St
Brooklyn, NY 11235
Phone (718) 332-3622

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, 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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1720722622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W 5TH ST",
            "city": "LEBO",
            "state": "KS",
            "postal_code": "668569351",
            "telephone_number": "785-806-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-295-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSTROM",
        "first_name": "HANNAH",
        "middle_name": "JESSE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "80713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.