Tina M Sholl, ARNP

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

45445 Issued in KS

Practice address

4013 N Ridge Rd
Ste 110
Wichita, KS 67205-8857

Phone

(316) 722-1333

Fax

(316) 722-3058

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Interoperability endpoints

• Direct secure messaging: tina.m.sholl@khindirect.org

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.

• Carepoint Emergency Medicine Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1477096097
  Medicare reassignment NPD
• Rock Regional Hospital, LLC

  dba Rock Regional Clinic

  • Multi-Specialty Clinic/Center
  • Derby, KS
  • NPI 1598641219
  Medicare reassignment NPD
• Carepoint Hospital Medicine Kansas LLC

  • Hospitalist Physician
  • Wichita, KS
  • NPI 1588234249
  NPD (past)
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)
• Surgical Specialists PA

  • Surgery Physician
  • Wichita, KS
  • NPI 1386613107
  NPD (past)
• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1922007020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058857",
            "telephone_number": "316-722-1333",
            "fax_number": "316-722-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD",
            "address_2": "STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058857",
            "telephone_number": "316-722-1333",
            "fax_number": "316-722-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLL",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KS",
            "license": "45445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002810A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1634002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Shockey, CRNA
• Trina Dawn Shockey, PT
• Richard W Shoffner, MD
• Ashlea Shogren, COTA
• Ashley M Shogren, PHARMD
• Laura Lynn Shook, D.C.
• Reniece Shook, R.N.
• Stanley Lynn Shook, DC
• Steve R. Shook, O.D.
• Sheyanne Michelle Shorb

• Critical Care Medicine Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Critical Care Medicine Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.