NPIMap

Individual provider Active NPI

Kimberly Bick Long, APRN

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1861140410
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-81044 Issued in KS
Practice address
3311 E Murdock St
Wichita, KS 67208-3054
Phone
(316) 274-8370
Fax
(316) 274-8278
NPI assigned
Mar 14, 2022
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-81044 KS Primary
Registered Nurse 163W00000X 87683 KS

Addresses

Primary practice location

3311 E Murdock St
Wichita, KS 67208-3054

Mailing address

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 274-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002564 KS Practitioner - Nurse Practitioner 5698159317 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Cardiology, LLCGroup PAC ID 1254646789, 27 clinicians

Practice addresses (Care Compare)

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
87683KSMDRegistered Nurse
53-81044KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Cardiology, LLC CurrentSince Jul 1, 2022 Accepting new patients
Heartland Cardiology, LLC CurrentSince Jul 1, 2022 Accepting new patients
Richard a Steckley MD PA CurrentSince Mar 4, 2024 Accepting new patients
Layne M Reusser MD PA CurrentSince Mar 4, 2024 Accepting new patients
Christian a. Hourani, MD, PA CurrentSince Mar 4, 2024 Accepting new patients
Jason T Tauke MD PA CurrentSince Mar 4, 2024 Accepting new patients
Bassem M Chehab MD PA CurrentSince Mar 4, 2024 Accepting new patients
Aziz R Maksoud MD PA CurrentSince Mar 4, 2024 Accepting new patients
Heartland Cardiology, PA Past Accepting new patients

Locations

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

9350 E 35th St N
Ste 101
Wichita, KS 67226
Phone (316) 265-1308

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHGAA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1861140410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083054",
            "telephone_number": "316-274-8370",
            "fax_number": "316-274-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083054",
            "telephone_number": "316-274-8370",
            "fax_number": "316-274-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KIMBERLY",
        "middle_name": "BICK",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-81044",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "87683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.