Pleasant Place Psychiatry PLLC
NPI 1558042218 · Psychiatric/Mental Health Nurse Practitioner · Wichita, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pleasant Place Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Wichita, KS (NPI 1558042218).
Provider details
- NPI number
- 1558042218
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ediomi Enebong, Owner(832) 206-1265
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 4925 S Broadway Ave # 1077Wichita, KS 67216-3716Phone: (507) 353-2419Fax: (507) 607-8967
- 5123 W 98th St # 2023Minneapolis, MN 55437-2040Phone: (832) 206-1265Fax: (507) 607-8967
- 7201 Metro Blvd Ste 550Minneapolis, MN 55439-1353Phone: (507) 353-2419Fax: (507) 607-8967
Registry dates
- Enumerated
- 2023-07-26
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Frequently asked questions
- What is Pleasant Place Psychiatry PLLC's NPI number?
- Pleasant Place Psychiatry PLLC's National Provider Identifier (NPI) is 1558042218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pleasant Place Psychiatry PLLC?
- Pleasant Place Psychiatry PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pleasant Place Psychiatry PLLC located?
- Pleasant Place Psychiatry PLLC's practice location on file with NPPES is 6611 E Central Ave Ste C, Wichita, KS 67206-1937.
- What is Pleasant Place Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pleasant Place Psychiatry PLLC is (507) 353-2419.
- Does Pleasant Place Psychiatry PLLC accept Medicare?
- Pleasant Place Psychiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pleasant Place Psychiatry PLLC?
- The authorized official listed on Pleasant Place Psychiatry PLLC's NPPES record is Ediomi Enebong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pleasant Place Psychiatry PLLC's NPI active?
- Yes — Pleasant Place Psychiatry PLLC's NPI (1558042218) is active in the NPPES registry as of the last update on 2025-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.