MANIPHAB VONGSENA APRN, FNP-BC
NPI 1417725391
Nurse Practitioner - Family in Wichita, KS
About Maniphab Vongsena Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANIPHAB VONGSENA APRN, FNP-BC (NPI 1417725391) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-82611-081) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maniphab Vongsena Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Maniphab Vongsena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leavenworth, KS 66048
- Reassigned Medicare billing, Kansas enrollment
- 73 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maniphab Vongsena's NPI number?
The NPI number for Maniphab Vongsena is 1417725391. It was assigned to this individual provider in the NPPES registry on December 19, 2023.
Where is Maniphab Vongsena located?
Maniphab Vongsena practices at 1261 N Maize Rd, Wichita, KS 67212. The listed phone number is (785) 272-2631.
What is Maniphab Vongsena's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maniphab Vongsena enrolled in Medicare?
Yes. Maniphab Vongsena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Maniphab Vongsena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maniphab Vongsena reassigns Medicare benefits to Emergent Care Plus Of Overland Park, LLC (Leavenworth, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maniphab Vongsena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maniphab Vongsena 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 Maniphab Vongsena 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 Maniphab Vongsena was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Maniphab Vongsena, APRN, FNP-BC · NPI 1417725391
Family physician in Wichita, Kansas. Individual provider, active in the CMS NPPES registry since December 19, 2023.
## Identity
- **NPI:** 1417725391 (Entity type: Individual)
- **Enumerated:** December 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-82611-081 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1261 N MAIZE RD, Wichita, KS 67212-4302
- **Phone:** (785) 272-2631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergent Care Plus Of Overland Park, LLC (NPI 1811224371, Leavenworth, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417725391) · Data from the CMS NPPES public registry.