Individual provider Active NPI

Lexy Jade Rooney, PA-C

  • Physician Assistant
  • Atchison, KS
National Provider Identifier
1073931804
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501689 Issued in KS
Practice address
800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone
(913) 367-7300
Fax
(913) 674-2030
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1501689 KS Primary

Addresses

Primary practice location

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204

Mailing address

810 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 674-2340

Other practice location 1

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other practice location 2

300 Utah St Fl 2
Hiawatha, KS 66434-2314
Phone (785) 742-2161

Other identifiers 3

IdentifierTypeStateIssuer
016289036OtherKSPTAN
220080967MedicaidMO
30004259230001MedicaidKS

Other names 1

  • Ms. Lexy Jade Teeter Former name

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
I20140519002085 KS Practitioner - Physician Assistant 8022231182 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amberwell Atchison AssociationGroup PAC ID 2466363858, 54 clinicians
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

1004 Progress Dr
Suite 145And180
Lansing, KS 66043-6326
Phone (913) 297-3215

1903 Euclid Ave
Amberwell Horton Clinic
Horton, KS 66439-1238
Phone (785) 486-2468

300 Utah St
Hiawatha, KS 66434-2314

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

311 W Locust St
Amberwell Troy Clinic
Troy, KS 66087-5252
Phone (913) 367-7300

800 Ravenhill Dr
Atchison, KS 66002-9204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501689KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Hospital Association, Inc. Current Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Amberwell Atchison Association CurrentSince Oct 22, 2025 Accepting new patients
Amberwell Atchison Association Physician Assistant CurrentSince Apr 12, 2014 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Apr 1, 2022 Accepting new patients
Amberwell Atchison Association CurrentSince Apr 12, 2014 Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

800 Ravenhill Dr
Ste 100
Atchison, KS 66002
Phone (913) 360-5398

800 Ravenhill Dr
Ste 100107
Atchison, KS 66002
Phone (913) 367-2131

820 Ravenhill Dr
Ste 107
Atchison, KS 66002
Phone (913) 674-2380

820 Ravenhill Dr
Atchison, KS 66002
Phone (816) 233-9888

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

300 Utah St
Fl 2
Hiawatha, KS 66434
Phone (785) 742-2161

415 W Main St
Highland, KS 66035
Phone (785) 442-3213

1004 Progress Dr
Ste 180
Lansing, KS 66043
Phone (913) 297-3125

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

Interoperability endpoints

  • Direct secure messaging: lexy.teeter@khindirect.org

Organizations & group practices 7

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 3

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1073931804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-674-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR STE 100&107",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-7300",
            "fax_number": "913-674-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342314",
            "country_code": "US",
            "telephone_number": "785-742-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "LEXY",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289036",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220080967",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004259230001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEXY",
            "last_name": "TEETER",
            "middle_name": "JADE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.