Individual provider Active NPI

Lance Krueger, PA-C

  • Surgical Physician Assistant
  • Salina, KS
National Provider Identifier
1003869249
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1501434 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone
(785) 452-7562
Fax
(785) 452-7105
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 10001625A IN
Surgical Physician Assistant 363AS0400X 493 NE
Surgical Physician Assistant 363AS0400X 1501434 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189

Mailing address

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone (785) 452-7562

Other identifiers 1

IdentifierTypeStateIssuer
200715390AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001625AINMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
002184IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jun 3, 2024 Accepting new patients
St Luke'S Methodist Hospital CurrentSince Feb 28, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jun 3, 2024 Accepting new patients
Trinity Regional Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
St. Luke'S Methodist Hospital Past Accepting new patients
Creighton University Past Accepting new patients
Nebraska Orthopaedic Center PC Surgical Past Accepting new patients
Integrated Cardiology Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Mar 17, 2024 Accepting new patients
Nebraska Heart Institute PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Hays Medical Center, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Liberty Cardiovascular Specialists Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1003869249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "LANCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "10001625A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "493",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1501434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200715390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.