Active NPI
Ashley Melugin, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 76473
- Practice address
- 1919 N Amidon Ave
Ste 130
Wichita, KS 67203-2117 - Phone
- (316) 660-7675
- Fax
- (316) 660-7715
- NPI assigned
- Aug 26, 2014
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 76473 | KS | Primary |
Addresses
Primary practice location
1919 N Amidon Ave
Ste 130
Wichita, KS 67203-2117
Mailing address
934 N Water St
Wichita, KS 67203-3838
Phone (316) 660-7600
Other practice location 1
3450 N Rock Rd Ste 503
Wichita, KS 67226-1355
Phone (316) 312-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201103420B | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Wichita, KS 67235
Phone (316) 554-6711
1919 N Amidon Ave
Wichita, KS 67203-2118
3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76473 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych-Aprn, LLC | Current | Accepting new patients | |
| County of Sedgwick | Current | Accepting new patients | |
| Neurology Consultants of Kansas LLC | Past | Accepting new patients |
Locations
1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675
934 N Water St
Wichita, KS 67203
Phone (316) 660-7500
Interoperability endpoints
- ashley.melugin@khindirect.org
- https://fhir4.healow.com/fhir/r4/FJHFCD
Organizations & group practices 3
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.
-
dba Sedgwick County Health Department
- Public Health or Welfare Agency
- Wichita, KS
- NPI 1629281373
-
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1083378228
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1881094902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 N WATER ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033838",
"telephone_number": "316-660-7600",
"fax_number": "316-941-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N AMIDON AVE",
"address_2": "STE 130",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032117",
"telephone_number": "316-660-7675",
"fax_number": "316-660-7715"
}
],
"practiceLocations": [
{
"address_1": "3450 N Rock Rd Ste 503",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672261355",
"country_code": "US",
"telephone_number": "316-312-0002",
"fax_number": "316-854-5644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELUGIN",
"first_name": "ASHLEY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "76473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201103420B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.