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

Individual provider Family Nurse Practitioner · NPI 1447013495

Angela Kisanko, APRN-C is a Nurse Practitioner in Wichita, Kansas. Qualified in 2024, 2 years ago. Practices with Gracemed Health Clinic Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
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Practice location Address checks out

1919 N Amidon Ave
Wichita, KS 67203-2117
Phone: (316) 866-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82819 (KS)

Record details

NPI number1447013495
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gracemed Health Clinic Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita