Individual provider Active NPI

Wendy Lee Gibson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salina, KS
National Provider Identifier
1740090653
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-83695-041 Issued in KS
Practice address
100 E Claflin Ave # 39
Salina, KS 67401-6146
Phone
(785) 833-4391
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-83695-041 KS Primary

Addresses

Primary practice location

100 E Claflin Ave # 39
Salina, KS 67401-6146

Mailing address

100 E Claflin Ave # 39
Salina, KS 67401-6146
Phone (785) 833-4391

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
I20250324003360 KS Practitioner - Nurse Practitioner 9436672029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CenterGroup PAC ID 6901959436, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2144

651 E Prescott Rd
Salina, KS 67401-7408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53-83695-041KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Center Current Accepting new patients
Clay County Medical Center CurrentSince Mar 12, 2025 Accepting new patients
Clay County Medical Center Current Accepting new patients
Salina Health Education Foundation CurrentSince Feb 1, 2026 Accepting new patients
Clay County Medical Center CurrentSince Mar 12, 2025 Accepting new patients
Salina Health Education Foundation CurrentSince Feb 1, 2026 Accepting new patients

Locations

609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

651 E Prescott Rd
Salina, KS 67401
Phone (785) 825-7251

Organizations & group practices 6

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1740090653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CLAFLIN AVE # 39",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016146",
            "telephone_number": "785-833-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CLAFLIN AVE # 39",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016146",
            "telephone_number": "785-833-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-83695-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.