NPIMap

Individual provider Active NPI

Nathaniel C Knackstedt, DO

  • Internal Medicine Physician
  • Hoisington, KS
National Provider Identifier
1023050952
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-30779 Issued in KS
Practice address
252 W 9TH St Ste a
Hoisington, KS 67544-1700
Phone
(620) 653-2386
Fax
(620) 653-4186
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-30779 KS Primary

Addresses

Primary practice location

252 W 9TH St Ste a
Hoisington, KS 67544-1700

Mailing address

250 W 9TH St
Hoisington, KS 67544-1706
Phone (620) 653-5067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CBH@ClaraBarton.CernerDirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000863 KS Practitioner - Internal Medicine 8628045903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Clara Barton Hospital Association Inc Hoisington Kansas 38 clinicians

Practice addresses (Care Compare)

252 W 9TH St
Hoisington, KS 67544-1725
Phone (620) 653-2386

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Good Samaritan Home Health of Central Kansas Home health agency, Hays, KS, CCN 178064
  • Gentiva Hospice, Wichita, KS, CCN 171542
  • Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333
  • University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
  • Russell Regional Hospital Hospital, Russell, KS, CCN 171350
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rush County Memorial Hospital Hospital, La Crosse, KS, CCN 170781
  • Clara Barton Hospital Nursing home, CCN 17Z333
  • Medicalodges Great Bend Nursing home, Great Bend, KS, CCN 175522
  • Azria Health Great Bend Nursing home, Great Bend, KS, CCN 175291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-30779KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Aug 1, 2004 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas CurrentSince Aug 1, 2004 Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas Current Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Current Accepting new patients
Medicalodges, Inc. Past Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Past Accepting new patients

Locations

906 McKinley St
Great Bend, KS 67530
Phone (620) 793-6990

252 W 9th St
Ste A
Hoisington, KS 67544
Phone (620) 653-2386

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/

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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1023050952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 9TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441706",
            "telephone_number": "620-653-5067",
            "fax_number": "620-653-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W 9TH ST STE A",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441700",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNACKSTEDT",
        "first_name": "NATHANIEL",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-30779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBH@ClaraBarton.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "Clara Barton Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "252 W 9th St Ste A",
            "city": "Hoisington",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675441700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoisington, KS

Sources for this page

Verify at the official NPI Registry.