Individual provider Active NPI

Jennifer Stephenson, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1942981089
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82965 Issued in KS
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

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000387 KS Practitioner - Nurse Practitioner 7810333598 Reassigns benefits to 1 organization

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
Total Wound Care of Kansas LLCGroup PAC ID 2860846664, 12 clinicians

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

LicenseStateTypeSpecialty
134615KSMDRegistered Nurse
869381NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wound Care of Kansas LLC CurrentSince Mar 5, 2024 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

Verify at the official NPI Registry.