Individual provider Active NPI

Ashley Melugin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1881094902
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
76473 Issued in KS
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201103420BMedicaidKS

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
I20141104002422 KS Practitioner - Nurse Practitioner 5597987677 Reassigns benefits to 2 organizations

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
Psych-Aprn LLCGroup PAC ID 1850781287, 7 clinicians
County of SedgwickGroup PAC ID 2961304779, 25 clinicians

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

LicenseStateTypeSpecialty
76473KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych-Aprn, LLC CurrentSince Jun 1, 2024 Accepting new patients
County of Sedgwick Current Accepting new patients
Neurology Consultants of Kansas LLC PastSince Jul 18, 2022 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

  • Direct secure messaging: ashley.melugin@khindirect.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.