Individual ProviderMicha WebbNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265(316) 616-1055PECOS EnrollmentBased on the most recent information from CMS, provider Micha Webb is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1851903868Provider TypeIndividualFull NameWebb, MichaGenderFemaleSole ProprietorYesEnumeration Date8/20/2020Last Updated9/8/2023Contact InformationPractice LocationPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxMailing LocationMailing Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense53-79217-102Kansas