Individual provider Active NPI

Susan Slief, P.A.

  • Physician Assistant
  • Pratt, KS
National Provider Identifier
1174567267
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00531 Issued in KS
Practice address
203 Watson St
Suite 200
Pratt, KS 67124-3068
Phone
(620) 672-7422
Fax
(620) 450-1601
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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 15-00531 KS Primary

Addresses

Primary practice location

203 Watson St
Suite 200
Pratt, KS 67124-3068

Mailing address

203 Watson St
Suite 200
Pratt, KS 67124-3068
Phone (620) 672-7422

Other identifiers 1

IdentifierTypeStateIssuer
200002550AMedicaidKS

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
I20050425000402 KS Practitioner - Physician Assistant 2860430394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens County HospitalGroup PAC ID 8426969361, 7 clinicians

Practice addresses (Care Compare)

1006 S Jackson St
Hugoton, KS 67951-2858
Phone (620) 544-8563

Hospital & facility affiliations

  • Health Watch Health Care of Liberal, LLC Home health agency, Liberal, KS, CCN 178061
  • Stevens County Hospital Hospital, Hugoton, KS, CCN 171335
  • Southwest Medical Center Hospital, Liberal, KS, CCN 170068
  • Morton County Hospital Hospital, Elkhart, KS, CCN 171386
  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Stevens County Hospital Nursing home, CCN 17Z335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00531KSMDAthletic Trainer
15-00531KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens County Hospital CurrentSince May 14, 2023 Accepting new patients
Stevens County Hospital Current Accepting new patients
Morton County Hospital Past Accepting new patients
Stevens County Hospital Past Accepting new patients
Pratt Family Practice LLC Past Accepting new patients

Locations

1006 S Jackson St
Hugoton, KS 67951
Phone (620) 544-8511

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1174567267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243068",
            "telephone_number": "620-672-7422",
            "fax_number": "620-450-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243068",
            "telephone_number": "620-672-7422",
            "fax_number": "620-450-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIEF",
        "first_name": "SUSAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.