GREAT PLAINS DIABETES
NPI 1912316811
Clinical Nurse Specialist in Wichita, KS

Active since August 05, 2014CLIA 17D2083017 · Waiver
834 N SOCORA ST, SUITE 4, WICHITA, KS 67212(316) 440-2802(316) 440-2809 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Plains Diabetes NPPES

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

GREAT PLAINS DIABETES (NPI 1912316811) is a healthcare organization registered as a clinical nurse specialist in Wichita, Kansas and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 25, 2028 and lists Rita Pedigo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912316811
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameGREAT PLAINS DIABETES RESEARCH, INC
Location Address834 N SOCORA ST, SUITE 4Wichita, KS 67212
Mailing Address834 N Socora St, Suite 4Wichita, KS 67212-3279 · (316) 440-2802 · Fax (316) 440-2809
Fax(316) 440-2809
Organization SubpartNo
Authorized OfficialRita PedigoOffice Manager · (316) 440-2802
Enumeration DateAugust 5, 2014
Last NPPES UpdateMay 17, 2018
✔ NPI 1912316811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in KS · 74249
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
834 N SOCORA ST, Wichita, KS 67212

Other Names 1

Other NameGreat Plains Diabetes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Plains Diabetes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Great Plains Diabetes, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Certified Clinical Nurse Specialist (CNS)
NPI 1255834735
834 N SOCORA ST STE 4
Wichita, KS 67212
(316) 440-2802
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609969757
834 N SOCORA ST SUITE 4
Wichita, KS 67212
(316) 440-2802
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952406431
834 N SOCORA ST STE 4
Wichita, KS 67212
(316) 440-2802
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922588599
8010 W 20TH CIR N
Wichita, KS 67212
(316) 219-1373
✔ PECOS✔ Accepts Medicare1.7 mi
Registered Dietitian or Nutrition Professional
NPI 1043551393
817 N EMPORIA ST
Wichita, KS 67214
(316) 268-5927
✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1760017933
720 MEDICAL CENTER DR
Newton, KS 67114
(316) 283-6103
✔ PECOS✔ Accepts Medicare23 mi

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

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 17D2083017

Great Plains Diabetes · Wichita, KS
Active · expires Aug 25, 2028
CLIA Number17D2083017
Laboratory TypeAprn Clinic
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
Laboratory DirectorBelinda P. Childs
Laboratory Phone(316) 440-2802
Laboratory LocationGreat Plains Diabetes834 North Socara, Lower Level, Wichita, KS 67212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Great Plains Diabetes Research, Inc's NPI number?

The NPI number for Great Plains Diabetes Research, Inc is 1912316811. It was assigned to this organization in the NPPES registry on August 5, 2014. The provider is also known as Great Plains Diabetes.

Where is Great Plains Diabetes Research, Inc located?

Great Plains Diabetes Research, Inc is located at 834 N Socora St Suite 4, Wichita, KS 67212. The listed phone number is (316) 440-2802.

What is Great Plains Diabetes Research, Inc's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Great Plains Diabetes Research, Inc enrolled in Medicare?

Yes. Great Plains Diabetes Research, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Plains Diabetes Research, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Plains Diabetes Research, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Certified Clinical Nurse Specialist (CNS) (1) and Registered Dietitian or Nutrition Professional (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Great Plains Diabetes Research, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2083017) is associated with this NPI, valid through August 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Plains Diabetes Research, Inc 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 Great Plains Diabetes Research, Inc 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 Great Plains Diabetes Research, Inc was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.