NPIMap

Individual provider Active NPI

Leah R Gerdes, APRN

  • Nurse Practitioner
  • Anthony, KS
National Provider Identifier
1174053698
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
77708 Issued in KS
Practice address
1101 E Spring St
Anthony, KS 67003-2122
Phone
(620) 842-5111
Fax
(620) 842-3372
NPI assigned
Jun 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77708 KS Primary

Addresses

Primary practice location

1101 E Spring St
Anthony, KS 67003-2122

Mailing address

1101 E Spring St
Anthony, KS 67003-2122
Phone (620) 842-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgerdesphc@pahc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724001979 KS Practitioner - Nurse Practitioner 8325318355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 N 5TH Ave
Anthony Community Care Ctr
Anthony, KS 67003-2106
Phone (620) 842-5187

485 N KS Hwy 2
Anthony, KS 67003-2526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77708KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 6 of Harper County Kansas Current Accepting new patients
Hospital District No 6 of Harper County Kansas Past Accepting new patients

Locations

1101 E Spring St
Anthony, KS 67003
Phone (620) 842-5111

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

Interoperability endpoints

  • Direct secure messaging: leahrucker@amc.cernerdirect.com
  • Direct secure messaging: lgerdesphc@pahc.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174053698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SPRING ST",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032122",
            "telephone_number": "620-842-5111",
            "fax_number": "620-842-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SPRING ST",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032122",
            "telephone_number": "620-842-5111",
            "fax_number": "620-842-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "LEAH",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "77708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgerdesphc@pahc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Patterson Health Center direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "485 N Ks Hwy 2",
            "city": "Anthony",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670032526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anthony, KS

Sources for this page

Verify at the official NPI Registry.