Individual provider Active NPI

Michael R Echard, NP

  • Nurse Practitioner
  • Columbus, KS
National Provider Identifier
1104496983
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-79744-051 Issued in KS
Practice address
120 W Pine St
Columbus, KS 66725-1705
Phone
(620) 429-1008
NPI assigned
Jun 25, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 79744 KS
Nurse Practitioner 363L00000X 53-79744-051 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211021000820 OK Practitioner - Nurse Practitioner 2163810318 Reassigns benefits to 2 organizations
I20240403003204 KS Practitioner - Nurse Practitioner 2163810318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79744-051KSMDNurse Practitioner
79744KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell Regional Hospital, Inc CurrentSince Nov 1, 2021 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Kansas Medical Supply, Inc. Current Accepting new patients
Advanced Primary Care Clinic Inc Gerontology CurrentSince Mar 1, 2024 Accepting new patients
Haskell Regional Hospital, Inc. Current Accepting new patients
Haskell Regional Hospital, Inc. PastSince Jun 1, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHAEDD/Endpoint/IHAEDD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1104496983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667250453",
            "telephone_number": "620-674-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PINE ST",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667251705",
            "telephone_number": "620-429-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHARD",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "79744",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79744-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, KS

Sources for this page

Verify at the official NPI Registry.