Active NPI
Stacy Lynn Wessley, APRN
- Nurse Practitioner
- Wichita, KS
National Provider Identifier
1760623011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-46213-081
- Practice address
- 3334 N Grey Meadow CT
Wichita, KS 67205-8716 - Phone
- (316) 992-7900
- Fax
- (913) 730-7624
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-46213-081 | KS | Primary |
Addresses
Primary practice location
3334 N Grey Meadow CT
Wichita, KS 67205-8716
Mailing address
3334 N Grey Meadow CT
Wichita, KS 67205-8716
Phone (316) 992-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200603090A | Medicaid | KS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-46213-081 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients | |
| Midwest Psychiatric Services, LLC | Current | Accepting new patients | |
| Neurology Consultants of Kansas LLC | Past | Accepting new patients | |
| Kansas Long Term Care Physicians, LLC | Past | Accepting new patients | |
| Wichita Medical Associates, PA | Past | Accepting new patients |
Locations
1131 S Clifton Ave
Ste B
Wichita, KS 67218
Phone (316) 462-1040
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJHFCD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1780261701
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
- NPI 1134758683
-
- Hospitalist Physician
- Wichita, KS
- NPI 1316973860
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
-
- Geriatric Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1396796991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1760623011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 N GREY MEADOW CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672058716",
"telephone_number": "316-992-7900",
"fax_number": "913-730-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 N GREY MEADOW CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672058716",
"telephone_number": "316-992-7900",
"fax_number": "913-730-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSLEY",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-46213-081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200603090A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.