Advanced Practice Primary Care Services
Organization Active NPI Clinic/Center · Neodesha, KS
NPI 1013737360 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1013737360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ADVANCED PRACTICE PRIMARY CARE SERVICES
- Practice address
- 1030 Main St
Neodesha, KS 66757-1675 - Phone
- (620) 874-8066
- NPI assigned
- Oct 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward Theodore Duensing, APRN FNP-C
- Title
- Aprn FNP-C Owner
- Phone
- (620) 874-8066
Practitioners 1
-
Edward Theodore Duensing, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250416003450 | KS | Part B Supplier - Clinic/Group Practice | 8426573999 |
Receives reassigned benefits from 1 practitioner Practice locations: Neodesha, KS |
National Provider Directory
Locations
1030 Main St
Neodesha, KS 66757
Phone (620) 874-8066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1030 Main St
Neodesha, KS 66757-1675
Mailing address
1030 Main St
Neodesha, KS 66757-1675
Phone (620) 874-8066
Other providers in Neodesha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.