Individual ProviderCasandra R FikesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address753 N West St, Wichita, KS 67203(316) 685-5691PECOS EnrollmentBased on the most recent information from CMS, provider Casandra R Fikes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730569385Provider TypeIndividualFull NameFikes, Casandra RGenderFemaleSole ProprietorNoEnumeration Date6/8/2015Last Updated9/5/2018Contact InformationPractice LocationPractice Address753 N West St, Wichita, KS 67203Phone(316) 685-5691FaxUnlisted FaxMailing LocationMailing Address753 N West St, Wichita, KS 67203-1240PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense53-78199KansasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP127531Texas