Individual provider Active NPI

Natalie Crumpler

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1861024663
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-79352-052 Issued in KS
Practice address
3715 N Oliver St
Wichita, KS 67220-3404
Phone
(316) 942-4519
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 121783 KS
Nurse Practitioner 363L00000X 53-79352-052 KS Primary

Addresses

Primary practice location

3715 N Oliver St
Wichita, KS 67220-3404

Mailing address

10222 W Haskell CT
Wichita, KS 67209-3029

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
I20200417001306 KS Practitioner - Nurse Practitioner 8729418686 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Associates LCGroup PAC ID 2860444163, 6 clinicians

Practice addresses (Care Compare)

825 N Hillside St
Suite 200
Wichita, KS 67214-4939
Phone (316) 733-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121783KSMDRegistered Nurse
53-79352-052KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Medicine Associates, LLC CurrentSince Apr 19, 2021 Accepting new patients
Pain Management Associates LC CurrentSince Feb 11, 2026 Accepting new patients
Total Wound Care LLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 15, 2024 Accepting new patients
Pain Management Associates LC CurrentSince Feb 11, 2026 Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

7900 College Blvd
Ste 143
Overland Park, KS 66210
Phone (913) 286-4448

1555 N Meridian Ave
Wichita, KS 67203
Phone (316) 942-8471

825 N Hillside St
Ste 200
Wichita, KS 67214
Phone (316) 733-9393

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3715 N Oliver St
Wichita, KS 67220
Phone (316) 440-1276

250 Miron Dr
Ste 120
Southlake, TX 76092

Organizations & group practices 5

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1861024663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 W HASKELL CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "121783",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79352-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.