Individual ProviderSandrine NkougaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address820 N Main St, Wichita, KS 67203-3605(316) 202-7051PECOS EnrollmentBased on the most recent information from CMS, provider Sandrine Nkouga 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 ID1891142261Provider TypeIndividualFull NameNkouga, SandrineTitleDr.CredentialDNP, MSN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date5/16/2016Last Updated12/22/2021Contact InformationPractice LocationPractice Address820 N Main St, Wichita, KS 67203-3605Phone(316) 202-7051Fax(833) 213-7988Mailing LocationMailing Address820 N Main St, Wichita, KS 67203-3605Phone(316) 202-7051Fax(833) 213-7988Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense53-77084-051Kansas