Active NPI
Lance Krueger, PA-C
- Surgical Physician Assistant
- Salina, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1501434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200715390A | Medicaid | KS |
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
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
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.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001625A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 002184 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | 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) | Past | 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
- 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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Rural Health Clinic/Center
- Kingsley, IA
- NPI 1659263523
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Liberty, MO
- NPI 1013146448
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1336125202
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1073553939
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Thoracic Surgery (Cardiothoracic Vascular Surgery)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.