Juanita Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

44486 Issued in KS

Practice address

225 E Cloud Ave
Andover, KS 67002-8824

Phone

(316) 554-2606

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juanita.wilson@khindirect.org

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.

• Little Clinic of Kansas LLC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1821483132
  Medicare reassignment NPD
• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1629281373
  NPD (past)
• County of Sedgwick

  • Case Management Agency
  • Wichita, KS
  • NPI 1679610539
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1861505331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958 PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441936700",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CLOUD AVE",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028824",
            "telephone_number": "316-554-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JUANITA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichita East Clinic
• Hannah Moselle Wiebe
• Brandi Wiens, MD
• Rickeyia Williams
• Jennifer Anne Wilson, APRN
• Michael Wilson, MD
• Ryan Woodruff
• Lisa Woods
• Melissa Woody, M.S., CCC-SLP
• Paula A. Worley, M.D.

• Family Nurse Practitioner in Andover, KS
• Providers in Andover, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.

Verify at the official NPI Registry.