Individual provider Active NPI

Kaci Smalley, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1780417907
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5383521102 Issued in KS
Practice address
1541 N Lindberg Cir
Wichita, KS 67206-6400
Phone
(316) 358-6400
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5383521102 KS Primary

Addresses

Primary practice location

1541 N Lindberg Cir
Wichita, KS 67206-6400

Mailing address

2 Knott CT
Hesston, KS 67062-9019
Phone (316) 518-5991

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
I20241023001825 KS Practitioner - Nurse Practitioner 1355874819 Reassigns benefits to 2 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
Restoration Health Care LLCGroup PAC ID 2567708142, 7 clinicians

Practice addresses (Care Compare)

Wichita, KS 67223
Phone (316) 737-7441

1541 N Lindberg Cir
The Center at Waterfront
Wichita, KS 67206-6400
Phone (316) 312-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5383521102KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health Care LLC CurrentSince Sep 1, 2024 Accepting new patients
Geriatric Inpatient Services of Kansas LLC CurrentSince Oct 8, 2025 Accepting new patients

Locations

1541 N Lindberg Cir
Wichita, KS 67206
Phone (316) 258-5882

Organizations & group practices 2

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1780417907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KNOTT CT",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670629019",
            "telephone_number": "316-518-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N LINDBERG CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066400",
            "telephone_number": "316-358-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "KACI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5383521102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.