Gracemed Health Clinic Inc - Medicare Primary Care in Wichita, KS

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Gracemed Health Clinic Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Wichita, Kansas. The current practice location for Gracemed Health Clinic Inc is 1122 N Topeka St, Wichita, Kansas. For appointments, you can reach them via phone at (316) 866-2000. The mailing address for Gracemed Health Clinic Inc is 1122 N Topeka, Wichita, Kansas and phone number is (316) 866-2000.

Gracemed Health Clinic Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184691693. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (316) 866-2000.

Contact Information

Gracemed Health Clinic Inc
1122 N Topeka St
Wichita
KS 67214-2810
(316) 866-2000
(316) 866-2084

Map and Direction


Primary Care Clinic Profile

Full NameGracemed Health Clinic Inc
SpecialityClinic/Center
Location1122 N Topeka St, Wichita, Kansas
Authorized Official Name and PositionVenus Lee (CEO)
Authorized Official Contact3168662064
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gracemed Health Clinic Inc
1122 N Topeka
Wichita
KS 67214-2810

Ph: (316) 866-2000		Gracemed Health Clinic Inc
1122 N Topeka St
Wichita
KS 67214-2810

Ph: (316) 866-2000

NPI Details:

NPI Number1184691693
Provider Enumeration Date03/02/2006
Last Update Date02/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9830098185
Medicare Enrollment IDO20040106000520

Medical Identifiers

Medical identifiers for Gracemed Health Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184691693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gracemed Health Clinic Inc acts as a billing entity for following providers:
Provider NameMichael J Keefer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508905126
PECOS PAC ID: 3072402312
Enrollment ID: I20040313000454
Provider NameSusan K Pfannenstiel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609843515
PECOS PAC ID: 1052300563
Enrollment ID: I20040510001206
Provider NameMark A Judd
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376511758
PECOS PAC ID: 8325012677
Enrollment ID: I20040823000714
Provider NameMatthew Charles Ridder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619082815
PECOS PAC ID: 1759325889
Enrollment ID: I20050620000200
Provider NameBilly D Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588773782
PECOS PAC ID: 4284641481
Enrollment ID: I20060313000734
Provider NameJulie Ann Elder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275597494
PECOS PAC ID: 6901878438
Enrollment ID: I20070522000538
Provider NameLaurie J Methvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407826126
PECOS PAC ID: 0547369811
Enrollment ID: I20070627000402
Provider NameCarrie L Werst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578770749
PECOS PAC ID: 5698866077
Enrollment ID: I20070814000784
Provider NameValerie A Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952500340
PECOS PAC ID: 8022102888
Enrollment ID: I20070924000635
Provider NameChristine D Fussell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700844115
PECOS PAC ID: 0941368385
Enrollment ID: I20081029000234
Provider NameCynthia M Pinkerton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912999020
PECOS PAC ID: 6002978863
Enrollment ID: I20090105000079
Provider NameRochelle L Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356588735
PECOS PAC ID: 6507921038
Enrollment ID: I20090218000044
Provider NameSara L W Riehn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538204581
PECOS PAC ID: 3274684477
Enrollment ID: I20090630000036
Provider NameJacqueline J Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952353260
PECOS PAC ID: 9436275278
Enrollment ID: I20100929000570
Provider NameJacquelyn E Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568699064
PECOS PAC ID: 8921291469
Enrollment ID: I20101018000235
Provider NameRenee A Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649577404
PECOS PAC ID: 3173705183
Enrollment ID: I20110314000064
Provider NameElizabeth Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083918643
PECOS PAC ID: 8820270630
Enrollment ID: I20110315000340
Provider NameMarsha K Waters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124334313
PECOS PAC ID: 5092982033
Enrollment ID: I20120117000067
Provider NameKare H Lyche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902960990
PECOS PAC ID: 2264682301
Enrollment ID: I20121025000383
Provider NameRegan Michelle Dehart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932305414
PECOS PAC ID: 0547416935
Enrollment ID: I20130403000101
Provider NameNicole Marie Delimont
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790064731
PECOS PAC ID: 7719144526
Enrollment ID: I20130927000633
Provider NameAmanda Abasolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073946455
PECOS PAC ID: 6305071093
Enrollment ID: I20131105001774
Provider NameSara L Farmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538597992
PECOS PAC ID: 8628207883
Enrollment ID: I20140210001464
Provider NameBrenna Paige Winn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134542368
PECOS PAC ID: 9234369901
Enrollment ID: I20140224002038
Provider NameVernona L New
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235446428
PECOS PAC ID: 2860616133
Enrollment ID: I20140609000373
Provider NameLance A Jepson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306133749
PECOS PAC ID: 1355566795
Enrollment ID: I20140627000955
Provider NameCherri Gettis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184033177
PECOS PAC ID: 4880813963
Enrollment ID: I20140923001024
Provider NameAshley R Graber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376952341
PECOS PAC ID: 3678794732
Enrollment ID: I20141015001028
Provider NameAmanda L Willis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710106059
PECOS PAC ID: 3779806393
Enrollment ID: I20150106000907
Provider NameJoshua Tibbe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124347083
PECOS PAC ID: 5890949986
Enrollment ID: I20150205001162
Provider NameLinda Gobin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982085288
PECOS PAC ID: 1355654013
Enrollment ID: I20150723008962
Provider NameRobin D Burbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730557141
PECOS PAC ID: 9335457019
Enrollment ID: I20150929002733
Provider NameJennifer Leigh Stuart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144690512
PECOS PAC ID: 2860701422
Enrollment ID: I20151021002024
Provider NameTammy G Brewer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124417548
PECOS PAC ID: 0042538167
Enrollment ID: I20151023001594
Provider NameSandrine Nkouga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891142261
PECOS PAC ID: 4284926213
Enrollment ID: I20160712000530
Provider NameC Tucker Allen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1285659730
PECOS PAC ID: 2668464223
Enrollment ID: I20160824000101
Provider NameCandice Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447798301
PECOS PAC ID: 9436433075
Enrollment ID: I20170228000882
Provider NameAlyson Taylor-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023538378
PECOS PAC ID: 8426327180
Enrollment ID: I20170712001041
Provider NameJoyce M Allen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831285808
PECOS PAC ID: 3678532223
Enrollment ID: I20170721001854
Provider NameAngela M Theobald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427570373
PECOS PAC ID: 6103196977
Enrollment ID: I20170727000415
Provider NameMolly E Wiwi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922519669
PECOS PAC ID: 6002172848
Enrollment ID: I20171109003392
Provider NameShonda L Colella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538689229
PECOS PAC ID: 5496012635
Enrollment ID: I20171127001617
Provider NameAdrian N Cade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588176069
PECOS PAC ID: 3577820828
Enrollment ID: I20171128002681
Provider NameSerena E Sagray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225421068
PECOS PAC ID: 3971813874
Enrollment ID: I20180628000901
Provider NameLauren Poull
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629495965
PECOS PAC ID: 6103147343
Enrollment ID: I20180817002866
Provider NameElizabeth R Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073090783
PECOS PAC ID: 8325397250
Enrollment ID: I20180824002760
Provider NameMatthew Don George
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992760466
PECOS PAC ID: 2365796984
Enrollment ID: I20181119001682
Provider NameAnita M Isbell Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487135836
PECOS PAC ID: 6901150523
Enrollment ID: I20181119001701
Provider NameErika Lynn Schrandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922588599
PECOS PAC ID: 4789929142
Enrollment ID: I20181213001211
Provider NameAmanda M Maupin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194106302
PECOS PAC ID: 4385986009
Enrollment ID: I20190430000687
Provider NameShayla Autrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245760800
PECOS PAC ID: 3971864737
Enrollment ID: I20190711001082
Provider NameAshley N Heimerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629620117
PECOS PAC ID: 3577891373
Enrollment ID: I20190816002937
Provider NameAngela D Treanor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992350888
PECOS PAC ID: 0840529095
Enrollment ID: I20190912002732
Provider NameHollie Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447801493
PECOS PAC ID: 5496087942
Enrollment ID: I20191101001449
Provider NameBridgett Kalifia Elie
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871877845
PECOS PAC ID: 0042559734
Enrollment ID: I20191209002743
Provider NameJennifer J Nisly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891354585
PECOS PAC ID: 6507291085
Enrollment ID: I20200109001838
Provider NameCordelia J Whitlatch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982059093
PECOS PAC ID: 3577820208
Enrollment ID: I20200415000500
Provider NameScott N Blaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528082757
PECOS PAC ID: 0143648097
Enrollment ID: I20200909003259
Provider NameAlicia M Utley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265063929
PECOS PAC ID: 2769802495
Enrollment ID: I20201020000536
Provider NameEric J Deshazer
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1619067733
PECOS PAC ID: 6608189477
Enrollment ID: I20201208001643
Provider NameAlyssa M Domingos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174143044
PECOS PAC ID: 5496169989
Enrollment ID: I20210125000730
Provider NameJanie Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588270037
PECOS PAC ID: 4880009976
Enrollment ID: I20210223003000
Provider NameDana Knox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285224907
PECOS PAC ID: 4981010972
Enrollment ID: I20210317002264
Provider NameAlexandra M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164012902
PECOS PAC ID: 4981011723
Enrollment ID: I20210324000260
Provider NameTeresa J Hambley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598165573
PECOS PAC ID: 3577784735
Enrollment ID: I20210616002058
Provider NameKelley Randolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942863915
PECOS PAC ID: 0941539670
Enrollment ID: I20210722000375
Provider NameTracy J Alexander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770777161
PECOS PAC ID: 4789970468
Enrollment ID: I20210727003765
Provider NameAllison M Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518434588
PECOS PAC ID: 1759786254
Enrollment ID: I20220503001718
Provider NameKendra Fulbright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952032864
PECOS PAC ID: 8729460969
Enrollment ID: I20220803003524
Provider NameErin Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588382501
PECOS PAC ID: 6709260300
Enrollment ID: I20220831001626
Provider NameSusan Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770218596
PECOS PAC ID: 5698159069
Enrollment ID: I20220902001099
Provider NameArash Arabi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447219654
PECOS PAC ID: 3274518055
Enrollment ID: I20221025001585
Provider NameDebra J Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568416550
PECOS PAC ID: 5698741023
Enrollment ID: I20230801000752
Provider NameMakayla D Harding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790465128
PECOS PAC ID: 1052774189
Enrollment ID: I20230823000168
Provider NameChrista L Caudillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346950268
PECOS PAC ID: 7416304977
Enrollment ID: I20231106002690
Provider NamePaul K Wilson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912137217
PECOS PAC ID: 4587842810
Enrollment ID: I20231221002794
Provider NameJoyce L Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639833155
PECOS PAC ID: 0244683548
Enrollment ID: I20240201003371
Provider NameAngela Kisanko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447013495
PECOS PAC ID: 6305282146
Enrollment ID: I20240314002792

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.