Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA MICHELLE THEOBALD
NPI 1427570373
Nurse Practitioner - Family in Wichita, KS

Active since July 12, 2017PECOS Enrolled
8100 E 22ND ST N BLDG 800, WICHITA, KS 67226(316) 201-6047 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Jul 12, 2017 (2 updates tracked since 2017).

About Angela Michelle Theobald NPPES

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

ANGELA MICHELLE THEOBALD (NPI 1427570373) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-77752) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427570373
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA MICHELLE THEOBALD
Location Address8100 E 22ND ST N BLDG 800Wichita, KS 67226-2350
Mailing Address1122 N Topeka StWichita, KS 67214-2810 · (316) 866-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2017
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1427570373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 53-77752
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 77752 (KS)
8100 E 22ND ST N BLDG 800, Wichita, KS 67226

Secondary Practice Location 1

Location 11919 N Amidon Ave Ste 100Wichita, KS 67203-2118 · Phone (316) 866-2000

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

Angela Michelle Theobald 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 ID6103196977
PECOS Enrollment IDI20170727000415
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Angela Theobald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1122 N TOPEKA ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 100 clinicians in this Medicare group
Psychiatric/Mental Health
825 N WACO AVE
Wichita, KS 67203
  • Reassigned Medicare billing, Kansas enrollment
  • 10 clinicians in this Medicare group
Mental Health
825 N WACO AVE
Wichita, KS 67203
  • Reassigned Medicare billing, Kansas enrollment
  • 46 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67226 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.

Counselor (Professional)
8100 E 22ND ST N BLDG 800
WICHITA, KS 67226

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 Angela Theobald's NPI number?

The NPI number for Angela Theobald is 1427570373. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Angela Theobald located?

Angela Theobald practices at 8100 E 22nd St N Bldg 800, Wichita, KS 67226. The listed phone number is (316) 201-6047.

What is Angela Theobald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Theobald enrolled in Medicare?

Yes. Angela Theobald 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 organizations bill Medicare for Angela Theobald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Theobald reassigns Medicare benefits to 3 organizations: Gracemed Health Clinic Inc (Wichita, KS), Soma Psychiatry LLC (Wichita, KS) and Soma Recovery LLC (Wichita, KS). Each 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 Angela Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Theobald accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Kansas, Inc. and Medica and 2 other insurers list Angela Theobald 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 Angela Theobald was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.