Inspired Spine Health of KS, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

INSPIRED SPINE HEALTH OF KS, PA

Practice address

1818 E 23Rd Ave
Hutchinson, KS 67502-1106

Phone

(952) 405-9760

Fax

(855) 430-6952

NPI assigned

Dec 28, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Navarrete

Title

Business Manager

Phone

(651) 456-8795

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Inspired Spine Health of KS, PA

  • Durable Medical Equipment & Medical Supplies
  • Hutchinson, KS
  • NPI 1942908371

  8820461254

  Same PAC ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamid Reza Abbasi, MD

  • Neurological Surgery Physician
  • Burnsville, MN
  • NPI 1932303526

  KS, Neurological Surgery

  Medicare reassignment NPD
• Dominic Moore

  • Physician Assistant
  • Burnsville, MN
  • NPI 1518542810
  NPD (past)

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1104539774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376847",
            "telephone_number": "952-405-9760",
            "fax_number": "855-430-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021106",
            "telephone_number": "952-405-9760",
            "fax_number": "855-430-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED SPINE HEALTH OF KS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-456-8795"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF KS",
            "identifier": "2088392",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "inspiredspinehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1818 E 23rd Ave",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hutchinson Regional Medical Center, Inc.
• Kyndal Elaine Hydeman, PA-C
• Brent Richard Ide, LSCSW
• Sarina Danielle Immesote
• Amy S Inchauriga, LMFT
• Inspired Spine Health of KS, PA
• Ashley Jade Ireland, M.D.
• Stephanie Kay Isaacson, APRN
• Chad Issinghoff, MD
• Amanda L Jackson, PT

• All providers in Hutchinson, KS
• Neurological Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.