Look up the most recent NPI and PECOS records

George Roccaforte

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1919 N Amidon Ave Ste 100, Wichita, KS 67203-2118

(316) 866-2000

PECOS Enrollment

Based on the most recent information from CMS, provider George Roccaforte does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1598780868
Provider Type
Individual
Full Name
Roccaforte, George
Credential
ENP

Gender
Male
Sole Proprietor
No
Enumeration Date
7/13/2006
Last Updated
2/7/2017

Contact Information

Practice Location

1919 N Amidon Ave Ste 100, Wichita, KS 67203-2118

(316) 866-2000

Unlisted Fax

Mailing Location

1122 N Topeka St, Wichita, KS 67214-2810

(316) 866-2000

(316) 866-2084

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 77366 Kansas
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 245101 Texas

Provider Identifiers

ID	Description	Issuer
ID 148000604	Description Medicaid	Issuer Unlisted Texas
ID 148000601	Description Medicaid	Issuer Unlisted Texas
ID 148000602	Description Medicaid	Issuer Unlisted Texas

George Roccaforte

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Schroeder, Renee

O'Gara, Julie

Neighbors, Amber Raelynn

Kill, Anna Christine

M-Care Healthcare Llc

Watts, Kristin

Kaljumaa, Lara Lenea

Barton, Melissa A

Nkouga, Sandrine

Carroll, Heidi Marie