Malissa Kay Paxton, RPAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-00798 Issued in KS

Practice address

606 Mulberry Rd
Derby, KS 67037-3532

Phone

(316) 788-3787

Fax

(316) 788-6930

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanglewood Family Medical Center PAGroup PAC ID 7113911389, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: malissa.paxton@tfmc.directbygreenway.com
• Direct secure messaging: malissa.paxton@khindirect.org

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.

• Tanglewood Family Medical Center PA

  • Family Medicine Physician
  • Derby, KS
  • NPI 1659472306
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1144321902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PARKWOOD CT",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378897",
            "telephone_number": "316-789-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MULBERRY RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373532",
            "telephone_number": "316-788-3787",
            "fax_number": "316-788-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "MALISSA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS ST BOARD LICENSE",
            "identifier": "15-00798",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00099501",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doyle E Palmer III, OT
• Constantine Paul Panakos, DO
• Brandi Pappan
• Andrea Parker, RPH
• Glen Ray Patton, DO
• Pearl Girl Clinics LLC
• Taylor Peck, CF-SLP
• Janet Pham, PHARMD
• Loan Kim Phan, APRN
• Pharmacon Drug

• Medical Physician Assistant in Derby, KS
• Providers in Derby, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.