Organization Active NPI

Homestead Health and Wellness

  • Family Nurse Practitioner
  • Andover, KS
National Provider Identifier
1780426262
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOMESTEAD HEALTH AND WELLNESS
Practice address
324 W Central Ave Ste G
Andover, KS 67002-9694
Phone
(316) 518-4284
Fax
(316) 462-0929
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Jennifer A Wilson, APRNNPI 1437533106
Title
Family Nurse Practitioner
Phone
(620) 249-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

324 W Central Ave Ste G
Andover, KS 67002-9694

Mailing address

1111 N 159TH St E
Wichita, KS 67230-7538
Phone (316) 518-4284

Other practice location 1

200 N Broadway Ave Fl 5
Wichita, KS 67202-2301
Phone (620) 249-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240805002865 KS Part B Supplier - Clinic/Group Practice 0547707861 Receives reassigned benefits from 1 practitioner
Practice locations: Derby, KS; Wichita, KS

National Provider Directory

National Provider Directory

Locations

324 W Central Ave
Ste G
Andover, KS 67002
Phone (316) 518-4284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1780426262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 159TH ST E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307538",
            "telephone_number": "316-518-4284",
            "fax_number": "316-462-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W CENTRAL AVE STE G",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029694",
            "telephone_number": "316-518-4284",
            "fax_number": "316-462-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Broadway Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022301",
            "country_code": "US",
            "telephone_number": "620-249-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMESTEAD HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "620-249-7282",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.