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
Last updated
Mar 2, 2023By the provider in NPPES
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 KansasGroup PAC ID 6709798622, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

Locations

906 McKinley St
Great Bend, KS 67530
Phone (316) 268-7030

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

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

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 6

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.

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.