NPIMap

Individual provider Active NPI

Katherine Gamble Haxton

  • Medical Physician Assistant
  • Hays, KS
National Provider Identifier
1245852839
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-02393 Issued in KS
Practice address
2214 Canterbury Dr Ste 304
Hays, KS 67601-2375
Phone
(785) 650-2880
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 15-02393 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr Ste 304
Hays, KS 67601-2375

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-2254

Other practice location 1

3216 Vine St Ste 20
Hays, KS 67601-1988
Phone (785) 261-7065

Other names 1

  • Katherine G Flores-Bailey 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
I20210226001809 KS Practitioner - Physician Assistant 3678984929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

2509 Canterbury Dr
Hays, KS 67601-2233
Phone (785) 623-5095

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02393KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Apr 3, 2023 Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2214 Canterbury Dr
Ste 304
Hays, KS 67601
Phone (785) 623-6544

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

3216 Vine St
Ste 20
Hays, KS 67601
Phone (785) 261-7065

Organizations & group practices 4

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 4

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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1245852839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR STE 304",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-650-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 Vine St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676011988",
            "country_code": "US",
            "telephone_number": "785-261-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAXTON",
        "first_name": "KATHERINE",
        "middle_name": "GAMBLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FLORES-BAILEY",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.