Kelly Laine McGuire, FNP
Individual provider Active NPI Family Nurse Practitioner · Coffeyville, KS
NPI 1053933598 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1053933598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 79138 (KS)
- Practice address
- 801 W 8TH St
Coffeyville, KS 67337-4109 - Phone
- (620) 251-4300
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Southeast Kansas Inc
Practice addresses (Care Compare)
801 W 8TH St
Coffeyville, KS 67337-4109
Phone (620) 251-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200604000940 | KS | Practitioner - Nurse Practitioner | 1759702400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79138 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients |
Locations
601 E Washington St
Arma, KS 66712
Phone (620) 347-4033
2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
Interoperability endpoints
- kelly.mcguire@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 79138 | KS | Yes |
Addresses
Primary practice location
801 W 8TH St
Coffeyville, KS 67337-4109
Mailing address
3011 N Michigan St
Pittsburg, KS 66762-2546
Other names
- Kelly Emberton
Other providers in Coffeyville, KS
- Erin Macaronas
- Sharon R Marquez
- Barbara A McCartney
- Chad Young McCready
- Alissa M McFadden
- Michelle A. McGuirk
- Carolyn M McIlwain
- Trina McIntosh
- Medicalodges, Inc.
- Medicalodges, Inc.
All providers in Coffeyville, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.