NPIMap

Individual provider Active NPI

Christine Fricke

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1962024448
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-10169 Issued in KS
Practice address
1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone
(316) 293-2665
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-10169 KS Primary

Addresses

Primary practice location

1010 N Kansas St Ste 3023
Wichita, KS 67214-3124

Mailing address

1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone (316) 293-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814003221 IA Practitioner - Family Practice 1153746391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230

Hospital & facility affiliations

  • Lakes Regional Healthcare Home Care Home health agency, Spirit Lake, IA, CCN 167106
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Avera Holy Family Hospital Hospital, Estherville, IA, CCN 161351
  • Accura Healthcare of Milford Nursing home, Milford, IA, CCN 165402
  • Accura Healthcare of Spirit Lake Nursing home, Spirit Lake, IA, CCN 165528

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
06366IAMDChiropractor
94-10169KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Healthcare Current Accepting new patients
Lakes Regional Healthcare Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Lakes Regional Healthcare CurrentSince Aug 1, 2023 Accepting new patients
Lakes Regional Healthcare Family Medicine Past Accepting new patients
Lakes Regional Healthcare Past Accepting new patients

Locations

2700 23rd St
Ste C
Spirit Lake, IA 51360
Phone (712) 336-3750

2301 Highway 71
Ste C
Spirit Lake, IA 51360
Phone (712) 330-3750

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

Interoperability endpoints

  • Direct secure messaging: christine.fricke@avera.sdhealthlink.net
  • Direct secure messaging: christine.fricke1@avera.sdhealthlink.net

Organizations & group practices 5

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.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1962024448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST STE 3023",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST STE 3023",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-10169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.