Individual provider Active NPI

Kimberley A Adams-McDarty, ARNP RN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1912015678
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP44996 Issued in KS
Practice address
1122 N Topeka St
Wichita, KS 67214-2810
Phone
(316) 866-2000
Fax
(316) 866-2084
NPI assigned
Aug 25, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1483930052 KS
Nurse Practitioner 363L00000X ARNP44996 KS Primary

Addresses

Primary practice location

1122 N Topeka St
Wichita, KS 67214-2810

Mailing address

1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000

Other identifiers 3

IdentifierTypeStateIssuer
200266970AMedicaidKS
161332OtherKSBLUE SHIELD
4347S0OtherKSFIRSTGUARD

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
I20040910001139 KS Practitioner - Nurse Practitioner 0648247569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gracemed Health Clinic IncGroup PAC ID 9830098185, 14 clinicians

Practice addresses (Care Compare)

1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP44996KSMDNurse Practitioner
RN1483930052KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gracemed Health Clinic, Inc CurrentSince Jul 28, 2025 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Jul 28, 2025 Accepting new patients
William Newton Memorial Hospital Current Accepting new patients
Ben L. Short, M.D., LLC Past Accepting new patients

Locations

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

1150 N Broadway Ave
Wichita, KS 67214

1230 E 6th Ave
Ste 1B
Winfield, KS 67156
Phone (620) 221-4000

1230 E 6th Ave
Ste 2B
Winfield, KS 67156
Phone (620) 221-7669

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1912015678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142810",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142810",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-MCDARTY",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "RN1483930052",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "ARNP44996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266970A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "161332",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "4347S0",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.