Gerald W Clevenger, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1500117 Issued in KS

Practice address

311 W. Locust St.
Troy, KS 66087

Phone

(785) 985-3504

Fax

(785) 985-3813

NPI assigned

Jun 28, 2005

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Physician Assistant

Education

Other, 1977

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, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
• Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerald.clevenger@khindirect.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Golden Age Nursing Home District

  • Skilled Nursing Facility
  • Braymer, MO
  • NPI 1043208796

  Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amberwell Atchison Association

  dba Amberwell Atchison

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Medicare reassignment Care Compare group NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Nutrition Education Nutritionist
  • Hiawatha, KS
  • NPI 1518572395
  Medicare reassignment Care Compare group NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Medicare reassignment
• Amberwell Atchison Association

  dba Herington Clinic

  • Rural Health Clinic/Center
  • Herington, KS
  • NPI 1700669819
  NPD
• Amberwell Atchison Association

  dba Amberwell Horton Clinic

  • Rural Health Clinic/Center
  • Horton, KS
  • NPI 1346873502
  NPD (past)
• Amberwell Atchison Association

  dba Amberwell Occupational Health

  • Occupational Medicine Physician
  • Atchison, KS
  • NPI 1609244508
  NPD (past)
• Amberwell Atchison Association

  dba Amberwell Eighth Street Clinic

  • Rural Health Clinic/Center
  • Atchison, KS
  • NPI 1740881929
  NPD (past)
• Amberwell Atchison Association

  dba Amberwell Lansing Clinic

  • Rural Health Clinic/Center
  • Lansing, KS
  • NPI 1780391409
  NPD (past)
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha Clinics

  • Rural Health Clinic/Center
  • Hiawatha, KS
  • NPI 1023175064
  NPD (past)
• Hiawatha Hospital Association Inc

  dba Amberwell Highland Clinic

  • Rural Health Clinic/Center
  • Highland, KS
  • NPI 1700936440
  NPD (past)
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha Professional Services

  • Family Medicine Physician
  • Hiawatha, KS
  • NPI 1831273044

  Physician Assistant

  NPD (past)

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

• Amberwell Atchison Association

  dba Amberwell Atchison

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

  dba Amberwell Hiawatha

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1083610646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W. LOCUST ST.",
            "city": "TROY",
            "state": "KS",
            "postal_code": "66087",
            "telephone_number": "785-985-3504",
            "fax_number": "785-985-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "KS",
            "postal_code": "660354143",
            "country_code": "US",
            "telephone_number": "785-442-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Ravenhill Dr Ste 100&107",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-7300",
            "fax_number": "913-674-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Atchison St",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660022352",
            "country_code": "US",
            "telephone_number": "913-367-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St Ste 200",
            "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"
        },
        {
            "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": "1903 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664391238",
            "country_code": "US",
            "telephone_number": "785-486-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "GERALD",
        "middle_name": "W",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098780E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289043",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004083700001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abundant Life Hospice Inc
• Thomas W Alderson, M.D.
• Amberwell Atchison Association (Amberwell Troy Clinic)
• City of Troy (Troy Community Ambulance)
• County of Doniphan (Doniphan County Health Department/Home Health)
• County of Doniphan (Doniphan County Health Dept./Home Health)
• Dennis T. Myers D.D.S.,P.a.
• Dr. Mark B. Beard DDS, Inc
• Nancy Susan Drake, LMSW

• Physician Assistant in Troy, KS
• Providers in Troy, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.