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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: July 26, 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 Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID L WALDIE OPTOMETRY
Optometrist
2230 N RIDGE RD, SUITE E
WICHITA, KS 67205
Sedgwick County (316) 729-8900
RONALD L. FIEGEL, O.D., P.A.
Optometrist
2230 N RIDGE RD, SUITE E
WICHITA, KS 67205
Sedgwick County (316) 729-8900
BAKS INC.
Home Health
2230 N RIDGE RD, SUITE D
WICHITA, KS 67205
Sedgwick County (316) 425-7717
HEIDI D. LARISON DO
Family Medicine
2230 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 448-8339
DR. BRIAN JOSEPH KOWAL DPT, PT
Physical Therapist
2230 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 448-8339
WILLIAM R SIMON JR. PA
Physician Assistant
2230 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 448-8339
DIEMKIEU PHAM
Physician Assistant
2230 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 448-8339
SARAH ANN BARRETT LMSW
Social Worker
2230 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 448-8339

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.

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 Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer 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 with the weekly NPPES data releases published by CMS.