Individual provider Active NPI

Bonnie Jean Huss, ARNP

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1750504197
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
45047 Issued in KS
Practice address
347 S Laura St
Wichita, KS 67211
Phone
(163) 686-7117
Fax
(163) 686-2679
NPI assigned
Apr 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1773913 OK
Nurse Practitioner 363L00000X 45047 KS
Gerontology Nurse Practitioner 363LG0600X 45047 KS Primary

Addresses

Primary practice location

347 S Laura St
Wichita, KS 67211

Mailing address

347 S Laura St
Wichita, KS 67211-1518
Phone (163) 686-7117

Other practice location 1

347 S Laura St
Wichita, KS 67211
Phone (163) 686-7117

Other identifiers 4

IdentifierTypeStateIssuer
53-45047OtherKSKANSAS STATE BOARD OF NURSING LICENSE
1750504197OtherNPI
200327800FMedicaidKS
73-0765084OtherOTHER

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
I20100805000456 KS Practitioner - Nurse Practitioner 4082669486 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

Practice addresses (Care Compare)

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

501 Easy St
Goddard, KS 67052-9211
Phone (316) 794-8635

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1773913OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Oct 1, 2022 Accepting new patients
Bryan C. Davis, M.D., P.a. CurrentSince Sep 1, 2017 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 1, 2022 Accepting new patients
Rush County Memorial Hospital Nurse Practitioner CurrentSince Oct 31, 2016 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

5808 W 8th St N
Wichita, KS 67212
Phone (316) 500-7565

1305 E 19th Ave
Winfield, KS 67156
Phone (620) 221-9500

Interoperability endpoints

  • Direct secure messaging: bonnie.huss.1@18308.direct.athenahealth.com

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750504197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S LAURA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111518",
            "telephone_number": "163-686-7117",
            "fax_number": "163-686-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S LAURA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67211",
            "telephone_number": "163-686-7117",
            "fax_number": "163-686-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 S Laura St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67211",
            "country_code": "US",
            "telephone_number": "163-686-7117",
            "fax_number": "163-686-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSS",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "1773913",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45047",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "45047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF NURSING LICENSE",
            "identifier": "53-45047",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750504197",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200327800F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "73-0765084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.