Individual provider Active NPI

Brenda J Chavez, ARNP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1881699866
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45082 Issued in KS
Practice address
818 N Emporia St Ste 200
Wichita, KS 67214-3726
Phone
(316) 263-0296
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 45082 KS
Nurse Practitioner 363L00000X 45082 KS Primary

Addresses

Primary practice location

818 N Emporia St Ste 200
Wichita, KS 67214-3726

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone (316) 263-0296

Other practice location 1

551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone (316) 263-0296

Other practice location 2

9350 E 35th St N Ste 103
Wichita, KS 67226-2022
Phone (316) 858-5000

Other identifiers 2

IdentifierTypeStateIssuer
100405970HMedicaidKS
161992OtherKSMEDICARE

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
I20050719001043 KS Practitioner - Nurse Practitioner 9830126002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

818 N Emporia St
Suite 200
Wichita, KS 67214-3726
Phone (316) 263-0296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA CurrentSince Sep 1, 2023 Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients
Via Christi Emergency Physician Services, LLC Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Vale of Paradise Emergency Physicians, LLC Past Accepting new patients

Locations

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

9350 E 35th St N
Ste 102
Wichita, KS 67226
Phone (316) 262-3444

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1881699866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144925",
            "telephone_number": "316-263-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143726",
            "telephone_number": "316-263-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 N Hillside St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144925",
            "country_code": "US",
            "telephone_number": "316-263-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 E 35th St N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-858-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "BRENDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "45082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100405970H",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "161992",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.