Kerstin M Glynn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-29719 Issued in KS

Practice address

1412 N 2ND St
Atchison, KS 66002

Phone

(913) 367-4879

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Kerstin M Bohaty Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atchison Community Health Clinic IncGroup PAC ID 6002131091, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atchison Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1407108335
  Medicare reassignment Care Compare group NPD
• Atchison Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288

  Family Medicine

  NPD (past)

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

• Amberwell Atchison Association

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1033148507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 1ST ST",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665342801",
            "telephone_number": "785-285-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "66002",
            "telephone_number": "913-367-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Main",
            "address_purpose": "LOCATION",
            "city": "Sabetha",
            "state": "KS",
            "postal_code": "66534",
            "country_code": "US",
            "telephone_number": "785-284-2141",
            "fax_number": "785-284-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "KERSTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-29719",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100423990B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERSTIN",
            "last_name": "BOHATY",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Marie George, LMSW
• David Campbell Gerlach, M.D.
• Elizabeth Lynn Gilbert, LMLP, LMAC
• Marilyn Franck Glenn, BS., MA, D.MIN.
• Ellen Glynn
• Sophia Goetschius, LMSW
• Adam Ryan Goodpasture, DPT, PT
• Josephine Goodpasture
• Norma Elizabeth Green, MD
• McGarrett Groth, DO

• Family Medicine Physician in Atchison, KS
• Providers in Atchison, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.