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

Angela Michelle Theobald

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1427570373

Angela Michelle Theobald is a Nurse Practitioner in Wichita, Kansas. Qualified in 2017, 9 years ago. Practices with Soma Psychiatry LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
9
Licensed in
KS
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1919 N Amidon Ave Ste 100
Wichita, KS 67203-2118
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 53-77752 (KS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 77752 (KS)

Record details

NPI number1427570373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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 Soma Psychiatry Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wichita