Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Dawn Wise, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1417462151

Andrea Dawn Wise, AGACNP-BC is a Nurse Practitioner in Wichita, Kansas. Qualified in 2017, 9 years ago. Practices with Kansas Care Connect, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
9
Licensed in
KS
In the registry since
2017

Practice location Address checks out

1035 N Emporia Ave Ste 105
Wichita, KS 67214-2998
Phone: (800) 263-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 77871 (KS)

Record details

NPI number1417462151
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 4, 2017
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kansas Care Connect, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita