Active NPI
Jennifer Stephenson, APRN
- Family Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 82965
- Practice address
- 2259 S White Oak Dr
Wichita, KS 67207-5457 - Phone
- (316) 570-4627
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 869381 | NY | |
| Registered Nurse | 163W00000X | 134615 | KS | |
| Family Nurse Practitioner | 363LF0000X | 82965 | KS | Primary |
Addresses
Primary practice location
2259 S White Oak Dr
Wichita, KS 67207-5457
Mailing address
2259 S White Oak Dr
Wichita, KS 67207-5457
Phone (316) 570-4627
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9300 E 29TH St N
Suite 205
Wichita, KS 67226-2183
Phone (405) 246-0811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134615 | KS | MD | Registered Nurse |
| 869381 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wound Care of Kansas LLC | Current | Accepting new patients |
Locations
9300 E 29th St N
Ste 205
Wichita, KS 67226
Phone (316) 219-4763
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
801 E Douglas Ave
Fl 2SND
Wichita, KS 67202
1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812
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": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1942981089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 S WHITE OAK DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075457",
"telephone_number": "316-570-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 S WHITE OAK DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075457",
"telephone_number": "316-570-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "869381",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "134615",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "82965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.