Michael R Echard, NP
Individual provider Active NPI Nurse Practitioner · Columbus, KS
NPI 1104496983 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1104496983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-79744-051 (KS)
- Practice address
- 120 W Pine St
Columbus, KS 66725-1705 - Phone
- (620) 429-1008
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 W Pine St
Columbus, KS 66725-1705
Phone (620) 429-1008
Hospital & facility affiliations
- Mercy Hospital Columbus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211021000820 | OK | Practitioner - Nurse Practitioner | 2163810318 | Reassigns benefits to 2 organizations |
| I20240403003204 | KS | Practitioner - Nurse Practitioner | 2163810318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79744-051 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haskell Regional Hospital, Inc. | Current | Accepting new patients | |
| Haskell Regional Hospital, Inc | Current |
Accepting new patients | |
| Kansas Medical Supply, Inc. | Current | Accepting new patients | |
| Haskell Regional Hospital, Inc. | Current |
Accepting new patients | |
| Advanced Primary Care Clinic Inc | Gerontology | Current |
Accepting new patients |
| Haskell Regional Hospital, Inc. | Past |
Accepting new patients |
Locations
120 W Pine St
Columbus, KS 66725
Phone (620) 429-1008
2323 Main St
Parsons, KS 67357
Phone (620) 421-6637
401 NW H St
Stigler, OK 74462
Phone (918) 967-4682
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHAEDD/Endpoint/IHAEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 79744 | KS | |
| Nurse Practitioner | 363L00000X | 53-79744-051 | KS | Yes |
Addresses
Primary practice location
120 W Pine St
Columbus, KS 66725-1705
Mailing address
PO Box 453
Columbus, KS 66725-0453
Phone (620) 674-1029
Other providers in Columbus, KS
- Natalie Jean Cooper
- Ciri Dawn Corbin
- County of Cherokee
- Allie Jean Crain
- David Adams LCSW LLC
- Holly Anne Engelbrecht
- Evan'S Drug
- Evans Drug Inc
- Evans Drug Inc
- Michael R. Forbes
All providers in Columbus, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.