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

Mrs. Cereasa Leeann Patterson, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1669048211

Mrs. Cereasa Leeann Patterson, NURSEPRACTITIONER is a Nurse Practitioner in Wichita, Kansas. Qualified in 2021, 5 years ago. Practices with Centerwell Senior Primary Care Ks PA, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

961 S Glendale St
Wichita, KS 67218-3210
Phone: (316) 618-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2402 E 13th St N, Wichita, KS 67214-2102 — (316) 867-6444

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-80521-032 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 13-134071-032 (KS)

Record details

NPI number1669048211
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Centerwell Senior Primary Care Ks Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita