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DR. LARRY DAVID MITNAUL JR. M.D., M.P.H., M.S.
NPI 1659633709
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wichita, KS

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
1515 S CLIFTON AVE STE 300, WICHITA, KS 67218(316) 858-0550(316) 858-0596 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017 (2 updates tracked since 2017).

About Dr. Larry David Mitnaul Jr. M.d., M.p.h., M.s. NPPES

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

DR. LARRY DAVID MITNAUL JR. M.D., M.P.H., M.S. (NPI 1659633709) is an individual child & adolescent psychiatry provider in Wichita, Kansas, licensed in Kansas (04-40194) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2012).

NPPES Registry Identity

NPI1659633709
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. LARRY DAVID MITNAUL JR.Credential: M.D., M.P.H., M.S.
Location Address1515 S CLIFTON AVE STE 300Wichita, KS 67218-2953
Mailing Address1515 S Clifton Ave Ste 300Wichita, KS 67218-2953 · (316) 858-0550 · Fax (316) 858-0596
Phone(316) 858-0550
Fax(316) 858-0596
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1659633709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in KS · 04-40194
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1515 S CLIFTON AVE STE 300, Wichita, KS 67218
Open in Google Maps ↗

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larry David Mitnaul Jr. M.d., M.p.h., M.s. 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 ID9335430867
PECOS Enrollment IDI20170802000572
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 Reassignment

Medicare enrollment records show Larry Mitnaul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group Via Christi, PA
2.2 mi
Diagnostic Radiology
3311 E MURDOCK ST
Wichita, KS 67208
  • Reassigned Medicare billing, Kansas enrollment
  • 210 clinicians in this Medicare group
NPI 1013374990 (316) 689-9422

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

Other Providers at the Same Location NPPES 6

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

MISS ALEXANDRA MARIE LANDON PA-C
Physician Assistant
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550
MRS. SARAH DAWN AAFEDT PA-C
Physician Assistant
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550
CAROLYN S KLIEWER PA-C
Physician Assistant
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550
DR. CHRISTI LORRAINE LEACH M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550
WALTER KALU KALU
Psychiatry & Neurology (Psychiatry)
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550
MS. DENISE BISHOP LSCSW
Social Worker (Clinical)
1515 S CLIFTON AVE STE 300
WICHITA, KS 67218
Sedgwick County (316) 858-0550

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 Larry Mitnaul's NPI number?

The NPI number for Larry Mitnaul is 1659633709. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Larry Mitnaul located?

Larry Mitnaul practices at 1515 S Clifton Ave Ste 300, Wichita, KS 67218. The listed phone number is (316) 858-0550.

What is Larry Mitnaul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Larry Mitnaul enrolled in Medicare?

Yes. Larry Mitnaul 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 Larry Mitnaul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Mitnaul reassigns Medicare benefits to Ascension Medical Group Via Christi, PA (Wichita, 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 Larry Mitnaul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Mitnaul 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 Larry Mitnaul 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 Larry Mitnaul was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.