Individual provider Active NPI

Amy A Hale, ARNP

  • Nurse Practitioner
  • Hays, KS
National Provider Identifier
1104053560
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-74922-102 Issued in KS
Practice address
2201 Canterbury Drive
Hays, KS 67601-6760
Phone
(785) 628-7495
Fax
(785) 628-3262
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-74922-102 KS Primary

Addresses

Primary practice location

2201 Canterbury Drive
Hays, KS 67601-6760

Mailing address

2201 Canterbury Drive
Hays, KS 67601-6760
Phone (785) 628-7495

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
I20100218000491 KS Practitioner - Nurse Practitioner 3870637556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoll Clinic LLCGroup PAC ID 2860542321, 2 clinicians

Practice addresses (Care Compare)

1100 E 22ND St
Hays, KS 67601-2422
Phone (785) 625-5500

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-74922-102KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoll Clinic LLC CurrentSince May 1, 2017 Accepting new patients

Locations

1100 E 22nd St
Hays, KS 67601
Phone (785) 625-5500

Organizations & group practices 1

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1104053560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CANTERBURY DRIVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676016760",
            "telephone_number": "785-628-7495",
            "fax_number": "785-628-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CANTERBURY DRIVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676016760",
            "telephone_number": "785-628-7495",
            "fax_number": "785-628-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-74922-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.