Jacqueline Sue Cole-Blasi, ARNP
Nurse Practitioner, Family in Wichita, KS. Individual provider (NPI-1).
NPI number1376860163
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1376860163
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Sue Cole-Blasi
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2010
- Certification date
- Mar 23, 2021
- Last updated
- Mar 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 53-44146-042 | KS | Yes |
Practice location
9350 E 35th St N Ste 101Wichita, KS 67226-2022
Phone 316-265-1308 · Fax 316-219-4141
Mailing address
9350 E 35th St N Ste 101Wichita, KS 67226-2022
Phone 316-265-1308 · Fax 316-219-4141
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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