Maureen E Entz, APRN, CPNP, C-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

45760 Issued in KS

Practice address

700 Medical Center Dr
Ste 150
Newton, KS 67114-9015

Phone

(316) 283-7100

Fax

(316) 283-7118

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Cottonwood Pediatrics, PA

  • Pediatrics Physician
  • Newton, KS
  • NPI 1407859119
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1770536682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140725",
            "telephone_number": "316-283-3627",
            "fax_number": "316-283-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "STE 150",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149015",
            "telephone_number": "316-283-7100",
            "fax_number": "316-283-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZ",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN, CPNP, C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200367530C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY / AETNA",
            "identifier": "5589557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emberhope, Inc
• Emergency Services of Kansas, PA
• Brennan Engle
• Haley Ensz
• ENT & Sleep Clinics Kansas LLC
• Stephanie Joan Entz, RPT
• Gerald Victor Epp, LSCSW
• Jerome F Ewald, LSCSW
• Marlene R Ewert, LMFT
• Fair Chiropractic LLC

• All providers in Newton, KS
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.