ENNOBLE HC KS II LLC
NPI 1942182845
Family Medicine - Geriatric Medicine in Wichita, KS

Active since July 22, 2025
801 E DOUGLAS AVE FL 2ND, WICHITA, KS 67202(551) 295-8223 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ennoble Hc Ks Ii Llc NPPES

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

ENNOBLE HC KS II LLC (NPI 1942182845) is a healthcare organization registered as a geriatric medicine in Wichita, Kansas and active in the NPI registry since July 2025. The organization maintains 2 additional practice locations and lists Mark Bradshaw, Physician, as its authorized official.

NPPES Registry Identity

NPI1942182845
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC KS II LLC
Location Address801 E DOUGLAS AVE FL 2NDWichita, KS 67202-3515
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Organization SubpartNo
Authorized OfficialMark BradshawPhysician · (551) 295-8223
Enumeration DateJuly 22, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1942182845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
801 E DOUGLAS AVE FL 2ND, Wichita, KS 67202

Secondary Practice Locations 2

Location 1345 N Riverview St Ste 412Wichita, KS 67203-4202 · Phone (316) 616-1055
Location 2117 S Lexington St Ste 100Harrisonville, MO 64701-2444 · Phone (551) 295-8223

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ennoble Hc Ks Ii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Ennoble Hc Ks II LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner11
Internal Medicine5
Family Practice1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1659026938
929 N SAINT FRANCIS AVE
Wichita, KS 67214
(316) 777-8999
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1821891896
345 N RIVERVIEW ST STE 500
Wichita, KS 67203
(551) 500-9547
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1275008369
345 N RIVERVIEW ST STE 500
Wichita, KS 67203
(316) 616-1055
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1588152607
345 N RIVERVIEW ST STE 500
Wichita, KS 67203
(316) 616-1055
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1124417548
3417 S MERIDIAN AVE
Wichita, KS 67217
(316) 866-2000
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1073465191
1044 N CASADO CT
Goddard, KS 67052
(316) 371-9771
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1518384858
4636 WOODSTOCK ST
Shawnee, KS 66218
(913) 645-0259
✔ PECOS✔ Accepts Medicare165 mi
Nurse Practitioner
NPI 1063064152
15928 W 84TH TER
Lenexa, KS 66219
(913) 653-3356
✔ PECOS✔ Accepts Medicare165 mi
Nurse Practitioner
NPI 1790293033
10870 BENSON DR STE 2160
Overland Park, KS 66210
(833) 357-3227
✔ PECOS167 mi
Internal Medicine
NPI 1952366692
106 W 11TH ST SUITE 1215
Kansas City, MO 64105
(816) 822-0050
✔ PECOS✔ Accepts Medicare178 mi
Nurse Practitioner
NPI 1841498441
1801 E LANGSFORD RD
Lees Summit, MO 64063
(816) 524-2590
✔ PECOS✔ Accepts Medicare183 mi
Family Practice
NPI 1730545922
1600 W UNIVERSITY BLVD
Durant, OK 74701
(580) 924-5500
✔ PECOS✔ Accepts Medicare259 mi
Nurse Practitioner
NPI 1194426833
201 JORDAN RD # 200
Franklin, TN 37067
(615) 905-5200
✔ PECOS594 mi
Internal Medicine
NPI 1316107428
50 GLENLAKE PKWY STE 420
Sandy Springs, GA 30328
(551) 295-8223
✔ PECOS772 mi
Internal Medicine
NPI 1124292800
35 COLLIER RD NW SUITE 635
Atlanta, GA 30309
(404) 367-3014
✔ PECOS✔ Accepts Medicare774 mi
Nurse Practitioner
NPI 1730494980
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 435-9463
✔ PECOS1,264 mi
Internal Medicine
NPI 1073621231
5 PENN PLZ FL 23
New York, NY 10001
(551) 295-8223
✔ PECOS✔ Accepts Medicare1,265 mi

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

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 Ennoble Hc Ks II LLC's NPI number?

The NPI number for Ennoble Hc Ks II LLC is 1942182845. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Ennoble Hc Ks II LLC located?

Ennoble Hc Ks II LLC is located at 801 E Douglas Ave Fl 2nd, Wichita, KS 67202. The listed phone number is (551) 295-8223.

What is Ennoble Hc Ks II LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ennoble Hc Ks II LLC enrolled in Medicare?

Yes. Ennoble Hc Ks II LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ennoble Hc Ks II LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Ennoble Hc Ks II LLC. 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 (11), Internal Medicine (5) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ennoble Hc Ks II LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.