Keiko Munsell

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

78143 Issued in KS

Practice address

3417 S Meridian Ave
Wichita, KS 67217-2151

Phone

(316) 866-2000

NPI assigned

Jul 5, 2018

Last updated

Nov 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS

  Medicare reassignment NPD
• Gracemed Health Clinic, Inc

  dba GraceMed Capitol Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
  • NPI 1194174482
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1891281655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172151",
            "telephone_number": "316-866-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172151",
            "telephone_number": "316-866-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSELL",
        "first_name": "KEIKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "78143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201204450B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyanna-Rose Munoz, LPC
• Manolito Martin Munoz, OTR/L, CHT
• Connie Sue Munro, RN
• Hayden Michael Munro, BCABA
• Nathan Shane Munsch
• Wendy R Munsell, SLP
• Carol A Munson, LPC
• Tammy S Munyon, PA
• Richard Muraga, MD
• Pedro Alberto Murati, MD

• Gerontology Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Gerontology Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.