Individual provider Active NPI

Krista Joelle Wiss, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salina, KS
National Provider Identifier
1902794985
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5384489052 Issued in KS
Practice address
131 N Santa Fe Ave # 125
Salina, KS 67401-2642
Phone
(785) 269-5054
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 5384489052 KS Primary

Addresses

Primary practice location

131 N Santa Fe Ave # 125
Salina, KS 67401-2642

Mailing address

131 N Santa Fe Ave # 125
Salina, KS 67401-2642
Phone (785) 269-5054

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
I20251201001985 KS Practitioner - Nurse Practitioner 2769975648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

131 N Santa Fe Ave
Salina, KS 67401-2809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5384489052KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Mental Wellness LLC Psychiatric/Mental Health CurrentSince Jun 3, 2025 Accepting new patients

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1902794985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N SANTA FE AVE # 125",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012642",
            "telephone_number": "785-269-5054",
            "fax_number": "785-203-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N SANTA FE AVE # 125",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012642",
            "telephone_number": "785-269-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISS",
        "first_name": "KRISTA",
        "middle_name": "JOELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5384489052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.