Individual provider Active NPI

Nicole Parker, DNP, FNP-C

  • Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1780357202
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-83004-012 Issued in KS
Practice address
200 Maine St
Lawrence, KS 66044-1368
Phone
(785) 843-0721
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-83004-012 KS Primary
Registered Nurse 163W00000X 14-134956-012 KS
Nurse Practitioner 363L00000X 2024005947 MO
Family Nurse Practitioner 363LF0000X 53-83004-012 KS

Addresses

Primary practice location

200 Maine St
Lawrence, KS 66044-1368

Mailing address

200 Maine St Ste B
Lawrence, KS 66044-1396
Phone (785) 843-0721

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
I20250324003213 KS Practitioner - Nurse Practitioner 5193247781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bert Nash Community Mental Health Center IncGroup PAC ID 5799693834, 28 clinicians

Practice addresses (Care Compare)

200 Maine St
Suite a
Lawrence, KS 66044-1396
Phone (785) 843-9192

200 Maine St a
Lawrence, KS 66044-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-134956-012KSMDRegistered Nurse
2024005947MOMDNurse Practitioner
53-83004-012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince Feb 24, 2025 Accepting new patients
Lawrence-Douglas County Health Dept CurrentSince Apr 13, 2025 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

200 Maine St
Lawrence, KS 66044
Phone (785) 832-8192

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

200 Maine St
Ste B
Lawrence, KS 66044
Phone (785) 843-0721

Interoperability endpoints

  • Direct secure messaging: nicole.parker.1@31130.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1780357202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-0721",
            "fax_number": "785-843-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "NICOLE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-83004-012",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-134956-012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024005947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83004-012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.