Jeremy Sudol, APRN
NPI 1447191259ActiveIndividual· Nurse Practitioner, Primary Care· Wichita, KS
Nurse Practitioner, Primary Care (APRN) with Kansas Spine and Specialty Hospital LLC, practicing in Wichita, Kansas. Enrolled in Medicare as practitioner - nurse practitioner. Lists Kansas Spine & Specialty Hospital, LLC as a hospital affiliation.
Overview
| NPI | 1447191259 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2026 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 53-85462-012 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KS) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Kansas Spine and Specialty Hospital LLCWichita, KS · 9 clinicians
Hospital affiliation
- Kansas Spine & Specialty Hospital, LLCWichita, KS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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