Individual provider Active NPI

Patricia Loraine Sheridan-Young, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1114158573
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01439 Issued in KS
Practice address
3211 S Iowa St Ste 100
Lawrence, KS 66046-5238
Phone
(785) 505-5475
Fax
(785) 505-5326
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 15-01439 KS Primary

Addresses

Primary practice location

3211 S Iowa St Ste 100
Lawrence, KS 66046-5238

Mailing address

1651 Naismith Dr
Lawrence, KS 66045-4069
Phone (785) 864-7417

Other practice location 1

1651 Naismith Dr
Lawrence, KS 66045-4069
Phone (785) 864-7417

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Patricia.SheridanYoung@direct.lmh.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150319002176 KS Practitioner - Physician Assistant 5193870277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
Lawrence, KS 66044-1333

3211 S Iowa St
100 LMH Health Primary Care South Iowa Stre
Lawrence, KS 66046-5205
Phone (785) 505-5475

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1299MNMDMarriage & Family Therapist
15-01439KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients
Lawrence Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients
First Med PA Past Accepting new patients
Lawrence Physicians LLC Past Accepting new patients
The Internal Medicine Group PA Past Accepting new patients
Lawrence Physicians LLC Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

3211 S Iowa St
Ste 100
Lawrence, KS 66046
Phone (785) 505-5475

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

Interoperability endpoints

  • Direct secure messaging: patricia.sheridanyoung@direct.lmh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1114158573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NAISMITH DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660454069",
            "telephone_number": "785-864-7417",
            "fax_number": "785-864-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 S IOWA ST STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465238",
            "telephone_number": "785-505-5475",
            "fax_number": "785-505-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Naismith Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660454069",
            "country_code": "US",
            "telephone_number": "785-864-7417",
            "fax_number": "785-864-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN-YOUNG",
        "first_name": "PATRICIA",
        "middle_name": "LORAINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patricia.SheridanYoung@direct.lmh.org",
            "affiliation": "N",
            "address_1": "3211 S Iowa St Ste 100",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660465238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.