Individual provider Active NPI

Barbara Gack

  • Family Nurse Practitioner
  • Salina, KS
National Provider Identifier
1114333002
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76357 Issued in KS
Practice address
520 S Santa Fe Ave, Suite 300
Suite 200
Salina, KS 67401
Phone
(785) 823-7470
Fax
(785) 823-0506
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76357 KS
Family Nurse Practitioner 363LF0000X 76357 KS
Family Nurse Practitioner 363LF0000X 53-76357 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave, Suite 300
Suite 200
Salina, KS 67401

Mailing address

520 S Santa Fe Ave, Suite 300
Suite 200
Salina, KS 67401
Phone (785) 823-7470

Other identifiers 1

IdentifierTypeStateIssuer
201098550AMedicaidKS

Other names 1

  • Barbara Jean Walter Former name

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
I20140814001527 KS Practitioner - Nurse Practitioner 1557588506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76357KSMDFamily Nurse Practitioner
76357KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince Jul 17, 2014 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Salina Regional Health Center, Inc. CurrentSince Jul 17, 2014 Accepting new patients
Comcare, P.a Past Accepting new patients

Locations

2090 S Ohio St
Salina, KS 67401
Phone (785) 309-2323

520 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 823-7225

520 S Santa Fe Ave
Ste 300
Salina, KS 67401
Phone (785) 309-0012

501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Interoperability endpoints

  • Direct secure messaging: barbara.gack@srhcdirect.com

Organizations & group practices 4

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1114333002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE, SUITE 300",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-823-7470",
            "fax_number": "785-823-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE, SUITE 300",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-823-7470",
            "fax_number": "785-823-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACK",
        "first_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201098550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "WALTER",
            "middle_name": "JEAN",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.