Individual provider Active NPI

Drea Lanae Shaver, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1720890486
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83967-021 Issued in KS
Practice address
9300 E 29TH St N Ste 204
Wichita, KS 67226-2183
Phone
(316) 500-6000
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 53-83967-021 KS Primary

Addresses

Primary practice location

9300 E 29TH St N Ste 204
Wichita, KS 67226-2183

Mailing address

4813 N Peregrine St
Wichita, KS 67219-3085
Phone (316) 250-2510

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
I20250219003465 KS Practitioner - Nurse Practitioner 5496275505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Center of Kansas LLCGroup PAC ID 0941571327, 5 clinicians

Practice addresses (Care Compare)

9300 E 29TH St N
Suite 204
Wichita, KS 67226-2183
Phone (316) 500-6000

Hospital & facility affiliations

  • Caldwell Regional Medical Center Hospital, Caldwell, KS, CCN 171329
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383
  • McPherson Hospital Hospital, McPherson, KS, CCN 170105
  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-83967-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Center of Kansas, LLC CurrentSince Jan 21, 2025 Accepting new patients

Locations

9300 E 29th St N
Ste 204
Wichita, KS 67226
Phone (316) 500-6000

Interoperability endpoints

  • Direct secure messaging: drea.shaver.1@16181.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16181/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1720890486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 N PEREGRINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672193085",
            "telephone_number": "316-250-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262183",
            "telephone_number": "316-500-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "DREA",
        "middle_name": "LANAE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83967-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.