Brandon K Fraley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1425 Issued in NE

Practice address

1100 Highland Dr
FL 3
Concordia, KS 66901-3923

Phone

(785) 243-4275

Fax

(785) 243-4275

NPI assigned

Feb 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

University of Nebraska College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cloud County Health Center IncGroup PAC ID 4082522859, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cloud County Health Center Hospital, Concordia, KS, CCN 171349

Merit-based Incentive Payment System (MIPS)

Final score

78.54 of 100Reported as group

Quality

74.55

Promoting interoperability

100

Improvement activities

40

Cost

53.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.fraley@srhcdirect.com

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.

• Cloud County Health Center Inc

  • Clinic/Center
  • Concordia, KS
  • NPI 1003950189

  KS

  Medicare reassignment Care Compare group NPD
• Cloud County Health Center Inc

  • Critical Access Hospital
  • Concordia, KS
  • NPI 1558364760

  KS

  Medicare reassignment Care Compare group
• Cloud County Health Center Inc

  • Rural Health Clinic/Center
  • Concordia, KS
  • NPI 1215930896
  Care Compare group
• Cloud County Health Center Inc

  • Critical Access Hospital
  • Concordia, KS
  • NPI 1306923438
  Care Compare group
• Cloud County Health Center Inc

  • Critical Access Hospital
  • Concordia, KS
  • NPI 1497832521
  NPD

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

• Cloud County Health Center Inc

  • Critical Access Hospital
  • Concordia, KS
  • NPI 1558364760

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1104064823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHLAND DR",
            "address_2": "FL 3",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013923",
            "telephone_number": "785-243-4272",
            "fax_number": "785-243-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHLAND DR",
            "address_2": "FL 3",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013923",
            "telephone_number": "785-243-4275",
            "fax_number": "785-243-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "BRANDON",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01635",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201088600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Crouse, LPN
• Suzanna Lu Dailey, P.T.A.
• Jonathan Dominguez
• Elmhurst Apothecary, LLC
• Daniel Lynn Enns
• Fresh Perspectives Counseling and Consultation Services LLC
• Funk Medical & Mobility, Inc
• Daniel J Garlow, M.D.
• Colby Nicholas Jack Garrison
• Mandy M Gerstner, LMSW

• All providers in Concordia, KS
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.