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

Bethelem Wondimu Bedasso

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073397642

Bethelem Wondimu Bedasso is a Nurse Practitioner in Shawnee, Kansas. Qualified in 2023, 3 years ago. Practices with Med Management of Kansas LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7450 Quivira Rd
Shawnee, KS 66216-3526
Phone: (913) 706-2508
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 53-82444-092 (KS)

Record details

NPI number1073397642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address7450 Quivira Rd, Shawnee, KS 66216-3526

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Med Management Of Kansas Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Shawnee