MICHELLE VAN DER WEGE – Nurse Practitioner, NPI 1700236114
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for MICHELLE VAN DER WEGE
1905 19TH ST
GREAT BEND, KS 675302502
Phone: (620) 792-5700
Type: Mailing
522 BROADWAY ST
LARNED, KS 675503042
Phone: (620) 804-6100
Fax: (620) 804-6055
Type: Location
105, West 13th Street, Hays, Ellis County, Kansas, 67601, United States
HAYS, KS 676013613
Phone: (785) 621-4990
Type: Mailing
FHSU Student Health
600 Park St # LL045MU
HAYS, KS 676016760
Phone: (785) 628-4401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-08-03
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 |
|---|---|---|---|---|
| I20160803002552 | 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 67530)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| General Practice | TN | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.