ANGELA MICHELLE THEOBALD – Family Nurse Practitioner, NPI 1427570373
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
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Provider Addresses for ANGELA MICHELLE THEOBALD
North Topeka Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States
WICHITA, KS 672142810
Phone: (316) 866-2000
Type: Mailing
North Amidon Avenue, Wichita, Sedgwick County, Kansas, 67204, United States
WICHITA, KS 672032118
Phone: (316) 866-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,049.
Total Amount is formed as General ($2,049) + Research ($0) + Ownership ($0) = $2,049.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($511).
Total Amount
$2,049
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,049
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $511 |
| Corium, LLC | $353 |
| Supernus Pharmaceuticals, Inc. | $190 |
| Axsome Therapeutics, Inc. | $164 |
| Teva Pharmaceuticals USA, Inc. | $130 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170727000415 | I | Nurse Practitioner | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Clinical Social Worker | KS | |
| Marriage And Family Therapist | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS | |
| Clinical Social Worker | KS | |
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | KS |
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