Individual provider Active NPI

K.C. Lowrance Wetta, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1992108443
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76538 Issued in KS
Practice address
10100 E Shannon Woods Cir
Wichita, KS 67226-4104
Phone
(316) 219-8299
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 149783 KS
Nurse Practitioner 363L00000X 76538 KS Primary
Registered Nurse 163W00000X 103471 KS

Addresses

Primary practice location

10100 E Shannon Woods Cir
Wichita, KS 67226-4104

Mailing address

10100 E Shannon Woods Cir
Wichita, KS 67226-4104
Phone (316) 219-8299

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
I20141021003118 KS Practitioner - Nurse Practitioner 7012138795 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103471KSMDRegistered Nurse
149783KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiowa District Hospital CurrentSince Mar 1, 2025 Accepting new patients
Kiowa District Hospital Current Accepting new patients
Kansas Joint & Spine Specialists, LLC CurrentSince Apr 1, 2024 Accepting new patients
Kansas Joint & Spine Specialists, LLC Current Accepting new patients

Locations

1002 S 4th St
Kiowa, KS 67070
Phone (620) 825-4121

10100 E Shannon Woods Cir
Ste 100
Wichita, KS 67226

Interoperability endpoints

  • Direct secure messaging: k.c.wetta.1@30078.direct.athenahealth.com

Organizations & group practices 6

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiowa District Hospital 7 clinicians
Kansas Joint and Spine Specialists LLC 17 clinicians

Practice addresses (Care Compare)

1002 S 4TH St
Kiowa, KS 67070-1825
Phone (620) 825-4121

10100 E Shannon Woods Cir
Suite 100
Wichita, KS 67226-4106
Phone (316) 219-8299

10100 E Shannon Woods Cirle
Suite 100
Wichita, KS 67226-4106

Hospital & facility affiliations

  • Kiowa District Hospital Hospital, Kiowa, KS, CCN 171331
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as group
Quality
61.12
Promoting interoperability
100
Improvement activities
40
Cost
70.25

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1992108443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-219-8299",
            "fax_number": "855-587-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-219-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTA",
        "first_name": "K.C.",
        "middle_name": "LOWRANCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "149783",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76538",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "103471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.