Daris Ann Hackward, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1502231 Issued in KS

Practice address

20375 W 151St St Ste 409
Olathe, KS 66061-7210

Phone

(913) 780-3388

Fax

(913) 780-3256

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Daris King Former name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

University of Missouri, Kansas City, School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kansas City Urology Care, P.a.

  • Urology Physician
  • Overland Park, KS
  • NPI 1528024676

  MO

  Medicare reassignment Care Compare group

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

• Adventhealth South Overland Park, Inc.

  dba AdventHealth South Overland Park

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Midwest Division - MMC, LLC

  dba Menorah Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Midwest Division-Oprmc LLC

  dba Overland Park Regional Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1235690546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-341-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 409",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617210",
            "telephone_number": "913-780-3388",
            "fax_number": "913-780-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKWARD",
        "first_name": "DARIS",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1502231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIS",
            "last_name": "KING",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Guse, ND
• Tara J Guss, LMSW
• Juan Gutierrez, PTA
• Samuel Louis Gutovitz, DDS
• Andrea Kristen Guyette, ARNP
• Brianna L Hafenstine, MD
• Samantha Hagan, M.S.
• Hahn Price Vision Center, LLC
• Amy Rhoades Hahn, D.D.S.
• Audra Hair

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.