Individual provider Active NPI

Molly Wiwi, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1922519669
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77909 Issued in KS
Practice address
1122 N Topeka St
Wichita, KS 67214-2810
Phone
(316) 866-2000
NPI assigned
Oct 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77909 KS Primary

Addresses

Primary practice location

1122 N Topeka St
Wichita, KS 67214-2810

Mailing address

801 S Cranbrook Cir
Wichita, KS 67207-3966
Phone (316) 990-2457

Other names 1

  • Molly Montgomery Former name

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
I20171109003392 KS Practitioner - Nurse Practitioner 6002172848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Diabetes and Endocrinology LLCGroup PAC ID 1052675592, 7 clinicians

Practice addresses (Care Compare)

8110 E 32ND St N
Suite 125
Wichita, KS 67226-2644
Phone (316) 330-3636

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as group
Quality
96.61
Promoting interoperability
100
Improvement activities
40
Cost
73.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77909KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Diabetes and Endocrinology, LLC CurrentSince Jun 17, 2024 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc PastSince Jun 17, 2024 Accepting new patients

Locations

8110 E 32nd St N
Ste 125
Wichita, KS 67226
Phone (316) 330-3636

8110 E 32nd St N
Wichita, KS 67226
Phone (316) 315-6662

Interoperability endpoints

  • Direct secure messaging: molly.wiwi.1@17686.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17686/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1922519669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CRANBROOK CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073966",
            "telephone_number": "316-990-2457"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIWI",
        "first_name": "MOLLY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MONTGOMERY",
            "credential": "APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.