Kimberly J Farris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2007032793 Issued in MO

Practice address

625 Kentucky St
Ashland, KS 67831-3199

Phone

(620) 635-2241

Fax

(620) 635-2229

NPI assigned

Oct 30, 2007

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly J Boylan Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Buren County HospitalGroup PAC ID 7214829530, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337
• Van Buren County Hospital Nursing home, CCN 16Z337

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Van Buren County Hospital

  • Emergency Medicine Physician
  • Keosauqua, IA
  • NPI 1316063076

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Medicare reassignment
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1154680700
  NPD
• New Century Physicians of Nebraska LLC

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1013916600
  NPD
• Van Buren County Hospital

  dba Farmington Medical Clinic

  • Rural Health Clinic/Center
  • Farmington, IA
  • NPI 1992875678
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Care Compare affiliation
• Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
  • NPI 1598844037

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1225217904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678310188",
            "telephone_number": "620-635-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENTUCKY ST",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678313199",
            "telephone_number": "620-635-2241",
            "fax_number": "620-635-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2007032793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashland.Hospital@Ashland-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Ashland Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "625 Kentucky St",
            "city": "Ashland",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678313199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashland.Clinic@Ashland-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Ashland Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "625 Kentucky St",
            "city": "Ashland",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678313199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOYLAN",
            "middle_name": "J",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maddison Jean Cortes, LMSW
• County of Clark
• County of Clark (Clark County Ambulance)
• D & B Pharmacy
• Rhodena Dewitt, RDN-LD
• Zachary Noah Gastelum, MD
• Kelby Rae Green, DPT
• Linda Jensen
• Leslie Kvinge, DPT
• Dustin Cole McPhail, D.C

• Physician Assistant in Ashland, KS
• Providers in Ashland, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.