Individual provider Active NPI

Bryan K Houchens, PA-C

  • Medical Physician Assistant
  • Herington, KS
National Provider Identifier
1194885798
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1005 N B St
Herington, KS 67449-1600
Phone
(785) 258-5130
Fax
(785) 258-5129
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1005 N B St
Herington, KS 67449-1600

Mailing address

100 E Helen St
Herington, KS 67449-1606
Phone (785) 258-2207

Other identifiers 1

IdentifierTypeStateIssuer
200635530AMedicaidKS

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
I20091007000677 KS Practitioner - Physician Assistant 8224174065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewell County HospitalGroup PAC ID 7911818273, 6 clinicians

Practice addresses (Care Compare)

100 Crestvue Ave
Mankato, KS 66956-2407
Phone (785) 378-3137

PO Box
Suite 327
Mankato, KS 66956-0327

Hospital & facility affiliations

  • Jewell County Hospital Hospital, Mankato, KS, CCN 171309
  • Jewell County Hospital Nursing home, CCN 17Z309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewell County Hospital CurrentSince Apr 1, 2016 Accepting new patients
Jewell County Hospital Past Accepting new patients

Locations

100 Crestvue Ave
Mankato, KS 66956
Phone (785) 346-2510

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2daa157e-8b5f-4b5c-b571-5b57834b9765/

Organizations & group practices 3

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 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1194885798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HELEN ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491606",
            "telephone_number": "785-258-2207",
            "fax_number": "785-258-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N B ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491600",
            "telephone_number": "785-258-5130",
            "fax_number": "785-258-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCHENS",
        "first_name": "BRYAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200635530A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herington, KS

Sources for this page

Verify at the official NPI Registry.