MANIPHAB VONGSENA APRN, FNP-BC
NPI 1417725391
Nurse Practitioner - Family in Wichita, KS

Active since December 19, 2023PECOS EnrolledAccepts Medicare Assignment
1261 N MAIZE RD, WICHITA, KS 67212(785) 272-2631 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1417725391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANIPHAB VONGSENACredential: APRN, FNP-BC
Location Address1261 N MAIZE RDWichita, KS 67212-4302
Mailing Address1261 N Maize RdWichita, KS 67212-4302 · (785) 272-2631
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 19, 2023
Last NPPES UpdateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
NPI 1417725391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in KS · 53-82611-081 Licensed in TX · 1142373
1261 N MAIZE RD, Wichita, KS 67212

Secondary Practice Location 1

Location 12600 N Woodlawn BlvdWichita, KS 67220-2729 · Phone (316) 500-7777

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6002348653
PECOS Enrollment IDI20241021001853
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1261 N MAIZE RD
WICHITA, KS 67212

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.

What insurance does Maniphab Vongsena 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 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 23 months 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.