Individual provider Active NPI

Christopher Ryan Lemons, PA-C

  • Physician Assistant
  • Andover, KS
National Provider Identifier
1023657236
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02474 Issued in KS
Practice address
308 E Central Ave
Andover, KS 67002-5605
Phone
(316) 993-1774
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 15-02474 KS Primary

Addresses

Primary practice location

308 E Central Ave
Andover, KS 67002-5605

Mailing address

308 E Central Ave
Andover, KS 67002-5605
Phone (316) 993-1774

Other practice location 1

106 Hidden Oak Way
Manchester, NH 03102-8464
Phone (316) 993-1774

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
I20210525003182 KS Practitioner - Physician Assistant 3476952334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Practice addresses (Care Compare)

1124 W 21St St
Andover, KS 67002-5500

Hospital & facility affiliations

  • Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02474KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center, LLC Single Specialty Current Accepting new patients
Kansas Medical Center, LLC Single Specialty CurrentSince May 10, 2021 Accepting new patients
Kansas Medical Center, LLC Single Specialty CurrentSince May 10, 2021 Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

308 E Central Ave
Andover, KS 67002
Phone (316) 262-4886

Organizations & group practices 4

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 1

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1023657236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E CENTRAL AVE",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025605",
            "telephone_number": "316-993-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E CENTRAL AVE",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025605",
            "telephone_number": "316-993-1774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Hidden Oak Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031028464",
            "country_code": "US",
            "telephone_number": "316-993-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.