Individual provider Active NPI

Catherine A Weitzel, RN ARNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wichita, KS
National Provider Identifier
1861476988
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
74833 Issued in KS
Practice address
10333 E 21St St N Ste 204
Wichita, KS 67206-3545
Phone
(316) 630-8444
Fax
(316) 630-8449
NPI assigned
Dec 1, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 14-58645-071 KS
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 74833 KS
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 74833 KS Primary

Addresses

Primary practice location

10333 E 21St St N Ste 204
Wichita, KS 67206-3545

Mailing address

10333 E 21St St N Ste 204
Wichita, KS 67206-3545
Phone (316) 630-8444

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
I20040607001336 KS Practitioner - Nurse Practitioner 5991787475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3310 E Douglas Ave
Wichita, KS 67208-3314
Phone (316) 272-0077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-58645-071KSMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
74833KSMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jun 1, 2019 Accepting new patients
S Post, Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

2101 SW 21st St
Topeka, KS 66604
Phone (660) 559-6188

1861 N Rock Rd
Ste 203
Wichita, KS 67206
Phone (316) 272-0077

3310 E Douglas Ave
Wichita, KS 67208
Phone (316) 272-0077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861476988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063545",
            "telephone_number": "316-630-8444",
            "fax_number": "316-630-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063545",
            "telephone_number": "316-630-8444",
            "fax_number": "316-630-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "RN ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "KS",
            "license": "14-58645-071",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "KS",
            "license": "74833",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.