Individual provider Active NPI

Kristen Renee Hauserman, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1932414554
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75196 Issued in KS
Practice address
3223 N Webb Rd
Ste 1
Wichita, KS 67226-8176
Phone
(316) 609-2667
Fax
(316) 609-2867
NPI assigned
Aug 9, 2010
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 53-75196 KS Primary

Addresses

Primary practice location

3223 N Webb Rd
Ste 1
Wichita, KS 67226-8176

Mailing address

3223 N Webb Rd
Ste 1
Wichita, KS 67226-8176
Phone (316) 609-2667

Other practice location 1

2135 N Collective Ln
Wichita, KS 67206-3560
Phone (316) 261-3220

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
I20100917000822 KS Practitioner - Nurse Practitioner 1557486222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abay Neuroscience Center LLCGroup PAC ID 4183666720, 16 clinicians

Practice addresses (Care Compare)

3223 N Webb Rd
Suite 1
Wichita, KS 67226-8176
Phone (316) 609-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75196KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abay Neuroscience Center LLC CurrentSince May 4, 2020 Accepting new patients
Kansas Imaging Consultants, PA PastSince Apr 6, 2015 Accepting new patients

Locations

721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127

2900 Amherst Ave
Manhattan, KS 66503
Phone (785) 539-8700

203 Watson St
Ste 300
Pratt, KS 67124
Phone (620) 672-1002

3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1932414554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268176",
            "telephone_number": "316-609-2667",
            "fax_number": "316-609-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268176",
            "telephone_number": "316-609-2667",
            "fax_number": "316-609-2867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 N Collective Ln",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063560",
            "country_code": "US",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSERMAN",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.