Individual provider Active NPI

Amy Nicole Wetzel

  • Psychiatric/Mental Health Nurse Practitioner
  • Hays, KS
National Provider Identifier
1891200952
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-77694-122 Issued in KS
Practice address
208 E 7TH St
Hays, KS 67601-4199
Phone
(785) 628-2871
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77694-122 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-77694-122 KS Primary

Addresses

Primary practice location

208 E 7TH St
Hays, KS 67601-4199

Mailing address

1590 E US Highway 40 Byp Lot 26
Hays, KS 67601-9373
Phone (620) 408-6546

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
I20180315000059 KS Practitioner - Nurse Practitioner 9537421367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Plains Mental Health Center 22 clinicians

Practice addresses (Care Compare)

208 E 7TH St
Hays, KS 67601-4139
Phone (785) 628-2871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77694-122KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Mental Health Center CurrentSince Jun 6, 2023 Accepting new patients

Locations

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1891200952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E US HIGHWAY 40 BYP LOT 26",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676019373",
            "telephone_number": "620-408-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 7TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014199",
            "telephone_number": "785-628-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77694-122",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-77694-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.