Individual provider Active NPI

Christina Marie Nicholas, MD

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1871714824
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6352 Issued in KS
Practice address
3243 E Murdock St
Suite 404
Wichita, KS 67208-3052
Phone
(316) 268-5000
NPI assigned
May 1, 2007
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6352 KS Primary

Addresses

Primary practice location

3243 E Murdock St
Suite 404
Wichita, KS 67208-3052

Mailing address

3243 E Murdock St
Suite 404
Wichita, KS 67208-3052
Phone (316) 685-6222

Other identifiers 2

IdentifierTypeStateIssuer
016633002OtherKSMEDICARE
200663440AMedicaidKS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000037 KS Practitioner - General Practice 6002932423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Surgical Consultants LLPGroup PAC ID 8224023445, 21 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Suite 404
Wichita, KS 67208-3007
Phone (316) 685-6222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Mastectomy54
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6352KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Surgical Consultants, LLP Surgery CurrentSince Aug 1, 2010 Accepting new patients
Wesley Physicians Medical Specialties LLC CurrentSince Dec 5, 2018 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Central Plains Cardiothoracic Surgery, LLC PastSince Aug 1, 2010 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

3243 E Murdock St
Ste 404
Wichita, KS 67208
Phone (316) 685-6222

3243 E Murdock St
Ste Lvl-A
Wichita, KS 67208
Phone (316) 688-3150

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

850 N Hillside St
Wichita, KS 67214
Phone (316) 688-3070

9300 E 29th St N
Ste 203
Wichita, KS 67226
Phone (316) 219-9360

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: christina.nicholas@khindirect.org
  • Direct secure messaging: christinanicholas@ksc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.3%) Sep 7, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1871714824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "SUITE 404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-685-6222",
            "fax_number": "316-685-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "SUITE 404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "6352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "016633002",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200663440A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.