Individual provider Active NPI

Curtis L Mellen, PA-C

  • Physician Assistant
  • Parsons, KS
National Provider Identifier
1194794008
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501074 Issued in KS
Practice address
2100 Commerce Dr
Parsons, KS 67357-4951
Phone
(620) 717-4450
Fax
(620) 717-4540
NPI assigned
Mar 14, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 1501074 KS Primary

Addresses

Primary practice location

2100 Commerce Dr
Parsons, KS 67357-4951

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-1960

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
I20061222000154 KS Practitioner - Physician Assistant 9739189788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575

2100 Commerce Dr
Parsons, KS 67357-4951
Phone (620) 717-4450

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

3015 N Michigan St
Pittsburg, KS 66762-2546

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501074KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Mar 26, 2018 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Mar 26, 2018 Accepting new patients
Cah Acquisition Company 2 LLC Past Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients

Locations

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

Interoperability endpoints

  • Direct secure messaging: curtis.mellen@chcsek.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1194794008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-231-1960",
            "fax_number": "620-231-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COMMERCE DR",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574951",
            "telephone_number": "620-717-4450",
            "fax_number": "620-717-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "CURTIS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

Verify at the official NPI Registry.