Casandra Lynn Bourn, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wichita, KS
NPI 1962073585 · NPPES record last updated Mar 13, 2023
Key facts
- NPI
- 1962073585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-80342-031 (KS)
- Practice address
- 3223 N Webb Rd Ste 1
Wichita, KS 67226-8176 - Phone
- (316) 609-2600
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abay Neuroscience Center LLC
Practice addresses (Care Compare)
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8176
Phone (316) 609-2600
Hospital & facility affiliations
- Wesley Medical Center
- Ascension Via Christi Hospitals Wichita, Inc.
- Kansas Spine & Specialty Hospital, LLC
- Hutchinson Regional Medical Center Inc
- Via Christi Hospital Wichita St Teresa, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723003209 | KS | Practitioner - Nurse Practitioner | 4981006954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80342-031 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abay Neuroscience Center LLC | Current |
Accepting new patients |
Locations
3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-80342-031 | KS | Yes |
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) 609-2600
Other providers in Wichita, KS
- Maged Botros
- Tiffany Bouddhara
- Emily Ann Boughton
- Nour Boulad
- Jessica Anne Boulware
- Linda Jean Bourn
- Alice Boutz
- Susan Elizabeth Bouwmeester
- Patrick Bowen
- Ben Bowers
All providers in Wichita, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.