Individual provider Active NPI

Cassidy Tyler Gfeller, PA-C

  • Medical Physician Assistant
  • Garden City, KS
National Provider Identifier
1114618238
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-02820 Issued in KS
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 275-3710
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-02820 KS Primary

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

2740 E 45TH CT N
Wichita, KS 67219-2020
Phone (620) 927-0592

Other practice location 1

2740 E 45th Ct N
Wichita, KS 67219-2020
Phone (620) 972-0592

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
I20231016002830 KS Practitioner - Physician Assistant 6406201102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

911 N Main St
SCHP Plaza Medical
Garden City, KS 67846-5561
Phone (620) 276-8201

Hospital & facility affiliations

  • Wildcat PT Home Health Home health agency, Garden City, KS, CCN 177195
  • Elara Caring Home health agency, Garden City, KS, CCN 178123
  • Health Watch Health Care of Liberal, LLC Home health agency, Liberal, KS, CCN 178061
  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

Merit-based Incentive Payment System (MIPS)

Final score
30.79 of 100Reported as group
Quality
29.28
Promoting interoperability
0
Improvement activities
0
Cost
69.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital CurrentSince Oct 2, 2023 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients
St. Catherine Hospital Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

311 E Spruce St
Garden City, KS 67846
Phone (620) 271-3139

Organizations & group practices 5

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 5

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1114618238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 E 45TH CT N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672192020",
            "telephone_number": "620-927-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 E 45th Ct N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672192020",
            "country_code": "US",
            "telephone_number": "620-972-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GFELLER",
        "first_name": "CASSIDY",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.