Collin Connor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0449543 Issued in KS

Practice address

1603 W 4TH St
Holton, KS 66436-1153

Phone

(785) 364-3205

Fax

(785) 364-3468

NPI assigned

May 18, 2021

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Healthcare System IncGroup PAC ID 8325031529, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Homehealth Home health agency, Onaga, KS, CCN 177159
• Community Hospital, Onaga and St Marys Campus Hospital, Onaga, KS, CCN 171354
• Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
• Holton Community Hospital Hospital, Holton, KS, CCN 171319
• Community Hospital, Onaga and St Marys Campus Nursing home, CCN 17Z354

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Healthcare System, Inc

  dba Community Hospital Onaga & St Marys

  • Critical Access Hospital
  • Onaga, KS
  • NPI 1457351389
  Medicare reassignment NPD
• Community Healthcare System, Inc

  • Family Medicine Physician
  • Onaga, KS
  • NPI 1578528824
  Medicare reassignment NPD
• Community Healthcare System, Inc

  • Family Medicine Physician
  • Onaga, KS
  • NPI 1093771776
  NPD
• Community Healthcare System, Inc

  dba Westmoreland Family Health Center

  • Rural Health Clinic/Center
  • Westmoreland, KS
  • NPI 1255635876

  Family Medicine

  NPD
• Community Healthcare System, Inc

  dba Downtown Medical Clinic

  • Rural Health Clinic/Center
  • Frankfort, KS
  • NPI 1891766887
  NPD (past)

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

• Community Healthcare System, Inc

  dba Community Home Health

  • Home Health Agency
  • Onaga, KS
  • NPI 1134185119
  Care Compare affiliation
• Community Healthcare System, Inc

  dba Community Hospital Onaga & St Marys

  • Critical Access Hospital
  • Onaga, KS
  • NPI 1457351389
  Care Compare affiliation
• Community Healthcare System, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Onaga, KS
  • NPI 1780654939

  Nursing home

  Care Compare affiliation
• Rural Health Resources of Jackson Co Inc

  dba Holton Community Hospital

  • Critical Access Hospital
  • Holton, KS
  • NPI 1902805716
  Care Compare affiliation
• Stormont-Vail Healthcare Inc

  dba Stormont Vail Hospital

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  Care Compare affiliation

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144894734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361153",
            "telephone_number": "785-364-3205",
            "fax_number": "785-364-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4241",
            "fax_number": "785-889-4749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-293-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-10492",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0449543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint M Colberg, MD
• Jill S Collins, APRN
• Community Assisted Living Inc
• Community Healthcare System, Inc (Holton Family Health Clinic)
• Complete Chiropractic Care Center, LLC
• CPF Senior Living - Holton LLC (Vintage Park at Holton)
• Heather Crispin, RPH
• Rachel Helen Dahl, MS, LPC
• Edward D. McKenzie (Holton Chiropractic Center)
• Sarrah R Edwards, PT

• Family Medicine Physician in Holton, KS
• Providers in Holton, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.