Individual provider Active NPI

Kyrie Gianne Ritzdorf, PA-C

  • Physician Assistant
  • Salina, KS
National Provider Identifier
1073847034
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01326 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone
(785) 452-7245
Fax
(785) 452-7246
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2574 TN
Physician Assistant 363A00000X 15-01326 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189

Mailing address

501 S Santa Fe Ave
Suite 200
Salina, KS 67401-4189
Phone (785) 452-7245

Other identifiers 2

IdentifierTypeStateIssuer
200633200AMedicaidKS
3000433763001MedicaidKS

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
I20100120000167 KS Practitioner - Physician Assistant 0840332417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

501 S Santa Fe Ave
Salina, KS 67401-4189

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Memorial Hospital Hospital, Abilene, KS, CCN 171381

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince Jul 12, 2022 Accepting new patients
Salina Regional Health Center, Inc. CurrentSince Jul 12, 2022 Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients
Runway Emergency Physicians LLC Past Accepting new patients
Comcare, P.a Past Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245

Organizations & group practices 5

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 2

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1073847034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7245",
            "fax_number": "785-452-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7245",
            "fax_number": "785-452-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZDORF",
        "first_name": "KYRIE",
        "middle_name": "GIANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2574",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200633200A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000433763001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.