NPIMap

Individual provider Active NPI

Kara L Keenan, ARNP-C

  • Nurse Practitioner
  • Larned, KS
National Provider Identifier
1225088008
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45342 Issued in KS
Practice address
713 W 11TH St
Larned, KS 67550-2055
Phone
(620) 804-6007
Fax
(620) 285-6195
NPI assigned
May 11, 2006
Last updated
Nov 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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 45342 KS Primary

Addresses

Primary practice location

713 W 11TH St
Larned, KS 67550-2055

Mailing address

713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007

Other identifiers 2

IdentifierTypeStateIssuer
100428190AMedicaidKS
100428190DMedicaidKS

Other names 1

  • Kara L Ploger Former name

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
I20050422000850 KS Practitioner - Nurse Practitioner 2567400104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
45342KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Kansas Family Health Care, Inc. CurrentSince Dec 19, 2019 Accepting new patients
Heart of Kansas Family Health Care, Inc. CurrentSince Dec 19, 2019 Accepting new patients
St. Joseph Memorial Hospital, Inc. Past Accepting new patients
Central Kansas Medical Center Past Accepting new patients
Pawnee Valley Community Hospital, Inc. Past Accepting new patients
St. Joseph Memorial Hospital, Inc. Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients

Locations

1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700

522 Broadway St
Larned, KS 67550
Phone (620) 804-6007

609 E 1st Ave
St John, KS 67576
Phone (620) 549-3251

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kara.keenan.1@20094.direct.athenahealth.com
  • Direct secure messaging: kara.keenan@khindirect.org

Organizations & group practices 7

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 10

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1225088008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055",
            "telephone_number": "620-804-6007",
            "fax_number": "620-285-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055",
            "telephone_number": "620-804-6007",
            "fax_number": "620-285-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "KARA",
        "middle_name": "L",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428190A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428190D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "PLOGER",
            "middle_name": "L",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Larned, KS

Sources for this page

Verify at the official NPI Registry.