Individual provider Active NPI

Marie A Maugans-Coleman, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1730116070
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1335139092 Issued in KS
Practice address
1715 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone
(620) 665-2240
Fax
(620) 665-2276
NPI assigned
Jun 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1335139092 KS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74025 KS

Addresses

Primary practice location

1715 E 23Rd Ave
Hutchinson, KS 67502-1105

Mailing address

3901 Deer Ridge LN
Hutchinson, KS 67502-9275
Phone (620) 728-1968

Other identifiers 1

IdentifierTypeStateIssuer
048714OtherKSBCBS

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
I20120123000433 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 3678740255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SedgwickGroup PAC ID 2961304779, 25 clinicians

Practice addresses (Care Compare)

1919 N Amidon Ave
Wichita, KS 67203-2118

3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1335139092KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
Horizons Mental Health Center, Inc. Past Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marie.mauganscoleman@khindirect.org

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730116070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 DEER RIDGE LN",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029275",
            "telephone_number": "620-728-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021105",
            "telephone_number": "620-665-2240",
            "fax_number": "620-665-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGANS-COLEMAN",
        "first_name": "MARIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "1335139092",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "048714",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.