Active NPI
Kealan Brynn White, APRN-CNP
- Family Nurse Practitioner
- Wichita, KS
National Provider Identifier
1821910191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-85848-092
- Practice address
- 1861 N Rock Rd Ste 101
Wichita, KS 67206-1264 - Phone
- (316) 685-3801
- Fax
- (316) 685-6901
- NPI assigned
- Jul 28, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-85848-092 | KS | Primary |
Addresses
Primary practice location
1861 N Rock Rd Ste 101
Wichita, KS 67206-1264
Mailing address
306 W 2ND St
Hastings, NE 68901-7532
Phone (402) 751-0600
Other practice location 1
2127 W Willow Rd
Enid, OK 73703-2404
Phone (402) 751-0600
Other practice location 2
1631 SE Washington Blvd
Bartlesville, OK 74006-4933
Phone (402) 751-0600
Other names 1
- Kealan Brynn Pavlak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1821910191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W 2ND ST",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689017532",
"telephone_number": "402-751-0600",
"fax_number": "402-751-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 N ROCK RD STE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061264",
"telephone_number": "316-685-3801",
"fax_number": "316-685-6901"
}
],
"practiceLocations": [
{
"address_1": "2127 W Willow Rd",
"address_purpose": "LOCATION",
"city": "Enid",
"state": "OK",
"postal_code": "737032404",
"country_code": "US",
"telephone_number": "402-751-0600",
"fax_number": "402-751-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1631 SE Washington Blvd",
"address_purpose": "LOCATION",
"city": "Bartlesville",
"state": "OK",
"postal_code": "740064933",
"country_code": "US",
"telephone_number": "402-751-0600",
"fax_number": "402-751-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "KEALAN",
"middle_name": "BRYNN",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-85848-092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEALAN",
"last_name": "PAVLAK",
"middle_name": "BRYNN",
"credential": "APRN-CNP",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 28, 2026; 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.