Individual provider Active NPI

Carrie E Cohen, DO

  • Family Medicine Physician
  • McPherson, KS
National Provider Identifier
1003870817
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0530647 Issued in KS
Practice address
113 S Ash St
McPherson, KS 67460-4801
Phone
(844) 588-7223
Fax
(844) 873-0149
NPI assigned
Apr 17, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0530647 KS Primary
PACE Provider Organization 251T00000X KS

Addresses

Primary practice location

113 S Ash St
McPherson, KS 67460-4801

Mailing address

113 S Ash St
Wichita, KS 67203-4937
Phone (844) 588-7223

Other identifiers 2

IdentifierTypeStateIssuer
105306OtherKSBLUE CROSS BLUE SHIELD
200265810EMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000287 KS Practitioner - Family Practice 4082685797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0530647KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Apr 18, 2016 Accepting new patients
Ascension Pharmacy Services, LLC. CurrentSince Oct 13, 2024 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Apr 18, 2016 Accepting new patients
Kansas Inpatient Services, LLC Hospitalist Past Accepting new patients
Bluestem Health Services Inc PastSince Apr 9, 2018 Accepting new patients
Kansas Long Term Care Physicians, LLC Hospitalist PastSince Feb 11, 2013 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

775 N Edwards Ave
Wichita, KS 67203
Phone (316) 847-2875

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1003870817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S ASH ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034937",
            "telephone_number": "844-588-7223",
            "fax_number": "844-873-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S ASH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604801",
            "telephone_number": "844-588-7223",
            "fax_number": "844-873-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CARRIE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0530647",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "105306",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200265810E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.