Individual provider Active NPI

Pamela Kerns, APRN

  • Nurse Practitioner
  • Newton, KS
National Provider Identifier
1235143330
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45365 Issued in KS
Practice address
730 Medical Center Dr
Newton, KS 67114-8778
Phone
(316) 283-1141
Fax
(316) 283-1162
NPI assigned
Jul 27, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 45365 KS Primary

Addresses

Primary practice location

730 Medical Center Dr
Newton, KS 67114-8778

Mailing address

PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633

Other practice location 1

204 Cleveland St
Great Bend, KS 67530-3563
Phone (620) 792-5511

Other practice location 2

410 E Spruce St
Garden City, KS 67846-5659
Phone (620) 272-2579

Other practice location 3

1401 W 12th Ave
Emporia, KS 66801-2570
Phone (620) 342-1117

Other identifiers 1

IdentifierTypeStateIssuer
100430400IMedicaidKS

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address pamela.kerns@cccancer.ikm.drect-ci.com
Direct Messaging Address pamela.kerns@cccancer.ikm.drect-ci.com
Direct Messaging Address pamela.kerns@cccancer.ikm.drect-ci.com
Direct Messaging Address pamela.kerns@cccancer.ikm.drect-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45365KSMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pamela.kerns@cccancer.ikm.direct-ci.com
  • Direct secure messaging: pamela.kerns@cccancer.ikm.drect-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1235143330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020256",
            "telephone_number": "785-823-0633",
            "fax_number": "785-823-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-1141",
            "fax_number": "316-283-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303563",
            "country_code": "US",
            "telephone_number": "620-792-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465659",
            "country_code": "US",
            "telephone_number": "620-272-2579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012570",
            "country_code": "US",
            "telephone_number": "620-342-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNS",
        "first_name": "PAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100430400I",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.kerns@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "730 Medical Center Dr",
            "city": "Newton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671148778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.kerns@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "1401 W 12th Ave",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668012570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.kerns@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "410 E Spruce St",
            "city": "Garden City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678465659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.kerns@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "204 Cleveland St",
            "city": "Great Bend",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675303563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.