Individual provider Active NPI

Claire Suzanne Moffitt

  • Physician Assistant
  • Dodge City, KS
National Provider Identifier
1174198741
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
200 W Ross Blvd
Dodge City, KS 67801-7221
Phone
(620) 371-7300
NPI assigned
May 25, 2021
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

200 W Ross Blvd
Dodge City, KS 67801-7221

Mailing address

501 El Corto St
Dodge City, KS 67801-2805
Phone (620) 855-0560

Other names 1

  • Claire Suzanne Moffitt Professional name

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
I20220729001495 KS Practitioner - Physician Assistant 9234511890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneola District Hospital NBR 2Group PAC ID 1355252545, 31 clinicians

Practice addresses (Care Compare)

200 W Ross Blvd
Dodge City Family Care Clinic
Dodge City, KS 67801-7221
Phone (620) 371-7300

212 Main St
Minneola, KS 67865-8511
Phone (620) 885-4264

2200 Summerlon Cir
Suite a
Dodge City, KS 67801-2905
Phone (620) 371-7300

222 Main St
Minneola, KS 67865-8511
Phone (620) 885-4202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneola District Hospital NBR 2 Current Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Jul 1, 2022 Accepting new patients
Minneola District Hospital NBR 2 Past Accepting new patients
Minneola District Hospital NBR 2 Past Accepting new patients

Locations

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202

Organizations & group practices 4

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 3

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1174198741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EL CORTO ST",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012805",
            "telephone_number": "620-855-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017221",
            "telephone_number": "620-371-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "CLAIRE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "MOFFITT",
            "middle_name": "SUZANNE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.