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WICHITA PRIMARY CARE LLC
NPI 1164908281
Family Medicine in Wichita, KS

Active since July 11, 2018CLIA 17D2165531 · Waiver
2230 N RIDGE RD, WICHITA, KS 67205(316) 448-8339(316) 221-7149 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2021, Jun 6, 2019, Jul 11, 2018 (3 updates tracked since 2018).

About Wichita Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WICHITA PRIMARY CARE LLC (NPI 1164908281) is a healthcare organization registered as a family medicine in Wichita, Kansas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Heidi Larison, Owner, as its authorized official.

NPPES Registry Identity

NPI1164908281
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWICHITA PRIMARY CARE LLC
Location Address2230 N RIDGE RDWichita, KS 67205-1053
Mailing Address2230 N Ridge RdWichita, KS 67205-1053 · (316) 448-8339 · Fax (316) 221-7149
Phone(316) 448-8339
Fax(316) 221-7149
Organization SubpartNo
Authorized OfficialHeidi LarisonOwner · (316) 448-8339
Enumeration DateJuly 11, 2018
Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1164908281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
2230 N RIDGE RD, Wichita, KS 67205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wichita Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Wichita Primary Care LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner5
Registered Dietitian or Nutrition Professional3
Clinical Social Worker1
Family Practice1
Marriage and Family Therapist1
Physical Therapist in Private Practice1

Clinicians, nearest first (12)

Rachel Davis
Registered Dietitian or Nutrition Professional
NPI 1376433987
2230 N RIDGE RD
Wichita, KS 67205
(316) 448-8339
Same address
Heidi Larison, DO
Family Practice
NPI 1447455662
2230 N RIDGE RD
Wichita, KS 67205
(316) 448-8339
✔ PECOS✔ Accepts MedicareSame address
Brian Kowal, DPT, PT
Physical Therapist in Private Practice
NPI 1194380477
2230 N RIDGE RD
Wichita, KS 67205
(316) 448-8339
✔ Accepts MedicareSame address
Suzanne Fisher
Nurse Practitioner
NPI 1790636462
2230 N RIDGE RD
Wichita, KS 67205
(316) 448-8339
✔ PECOS✔ Accepts MedicareSame address
Shelby Lopez
Nurse Practitioner
NPI 1487339024
2230 N RIDGE RD
Wichita, KS 67205
(316) 448-8339
✔ PECOS✔ Accepts MedicareSame address
Miranda Bradfield, NP
Nurse Practitioner
NPI 1902545809
1122 N TOPEKA ST
Wichita, KS 67214
(316) 866-2000
✔ PECOS✔ Accepts Medicare5.1 mi
Sylvia Woodard
Nurse Practitioner
NPI 1063898823
929 N SAINT FRANCIS ST
Wichita, KS 67214
(316) 268-5000
✔ PECOS✔ Accepts Medicare5.3 mi
Jessica Geide, LMFT
Marriage and Family Therapist
NPI 1922476464
5745 E CENTRAL AVE
Wichita, KS 67208
(316) 252-3146
✔ PECOS8.8 mi
Michele Keethler, RD LD
Registered Dietitian or Nutrition Professional
NPI 1538776422
240 N ROCK RD STE 303
Wichita, KS 67206
(316) 247-2462
✔ Accepts Medicare10 mi
Brandy Voegeli, APRN
Nurse Practitioner
NPI 1023855343
8451 E PAWNEE ST
Wichita, KS 67207
(316) 618-0035
✔ PECOS✔ Accepts Medicare11 mi
Shana Cables, MS, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1013564020
1426 E TIMBER FALLS CT
Andover, KS 67002
(636) 248-9128
✔ Accepts Medicare17 mi
Molly Bradley, LMSW
Clinical Social Worker
NPI 1417359373
2821 BROOKSIDE CT
Augusta, KS 67010
(316) 425-0073
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2165531

Wichita Primary Care · Wichita, KS
Active · expires Apr 29, 2027
CLIA Number17D2165531
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorHeidi D. Larison
Laboratory Phone(316) 448-8339
Laboratory LocationWichita Primary Care2230 N Ridge Road, Wichita, KS 67205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wichita Primary Care LLC's NPI number?

The NPI number for Wichita Primary Care LLC is 1164908281. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Wichita Primary Care LLC located?

Wichita Primary Care LLC is located at 2230 N Ridge Rd, Wichita, KS 67205. The listed phone number is (316) 448-8339.

What is Wichita Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wichita Primary Care LLC enrolled in Medicare?

Yes. Wichita Primary Care LLC is registered in the Medicare PECOS enrollment system.

Does Wichita Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2165531) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wichita Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Wichita Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wichita Primary Care LLC was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.