NPIMap

Individual provider Active NPI

Charise R Oelger, PA

  • Physician Assistant
  • Great Bend, KS
National Provider Identifier
1104896992
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500925 Issued in KS
Practice address
1905 19TH St
Great Bend, KS 67530-2502
Phone
(620) 792-5700
Fax
(855) 463-0851
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500925 KS Primary

Addresses

Primary practice location

1905 19TH St
Great Bend, KS 67530-2502

Mailing address

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Other practice location 1

3520 Lakin Ave
Ste 103
Great Bend, KS 67530-3660
Phone (620) 792-3345

Other identifiers 1

IdentifierTypeStateIssuer
200000640DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000896 KS Practitioner - Physician Assistant 1355317363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Kansas Family Health Care IncGroup PAC ID 4486565181, 17 clinicians

Practice addresses (Care Compare)

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
  • Ellinwood District Hospital Hospital, Ellinwood, KS, CCN 171301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Kansas Family Health Care, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Heart of Kansas Family Health Care, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Central Kansas Medical Center Past Accepting new patients
Central Kansas Medical Center Past Accepting new patients

Locations

1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700

522 Broadway St
Larned, KS 67550
Phone (620) 804-6007

609 E 1st Ave
St John, KS 67576
Phone (620) 549-3251

412 Grand Ave
Stafford, KS 67578
Phone (620) 234-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charise.oelger.1@20094.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1104896992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 19TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302502",
            "telephone_number": "620-792-5700",
            "fax_number": "855-463-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 19TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302502",
            "telephone_number": "620-792-5700",
            "fax_number": "855-463-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Lakin Ave",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303660",
            "country_code": "US",
            "telephone_number": "620-792-3345",
            "fax_number": "620-792-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OELGER",
        "first_name": "CHARISE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000640D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.