Individual provider Active NPI

Patricia D Pries, PA-C

  • Medical Physician Assistant
  • Hutchinson, KS
National Provider Identifier
1124251962
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
T-02568 Issued in KS
Practice address
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone
(620) 665-2000
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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 T-02568 KS Primary

Addresses

Primary practice location

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

Mailing address

1806 Tracy LN
Hutchinson, KS 67501-2920
Phone (620) 960-6010

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
I20210921001797 KS Order and Referring Only - Physician Assistant 6204977879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-02568KSMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1124251962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 TRACY LN",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675012920",
            "telephone_number": "620-960-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021105",
            "telephone_number": "620-665-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIES",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "T-02568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.