Individual provider Active NPI

McKenna Blasi

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1013497080
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
830 SW Mulvane St
Topeka, KS 66606-1654
Phone
(785) 270-8625
Fax
(785) 270-8624
NPI assigned
Aug 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

830 SW Mulvane St
Topeka, KS 66606-1654

Mailing address

1500 SW 10TH Ave
Medical Staff Services
Topeka, KS 66604
Phone (785) 354-6241

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001782 KS Practitioner - Physician Assistant 3870838964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physicians Medical Specialties LLCGroup PAC ID 1355509886, 50 clinicians

Practice addresses (Care Compare)

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 260-1690

550 N Hillside Ave
Wesley Medical Center
Wichita, KS 67214-4910
Phone (316) 962-2000

550 N Hillside St
Wesley Picu
Wichita, KS 67214-4910
Phone (316) 962-2156

550 N Hillside St FL
5 Wesley Physicians Medical Special
Wichita, KS 67214-4910
Phone (316) 962-2156

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 19, 2018 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 19, 2018 Accepting new patients

Locations

901 SW Garfield Ave
Topeka, KS 66606

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

830 SW Mulvane St
Topeka, KS 66606
Phone (785) 233-1710

Interoperability endpoints

  • Direct secure messaging: mseiler80539@stormontvaildirect.org

Organizations & group practices 3

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 2

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": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1013497080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66604",
            "telephone_number": "785-354-6241",
            "fax_number": "785-270-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061654",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASI",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.