Individual provider Active NPI

Kathy L Hershberger, PA

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1255332680
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00785 Issued in KS
Practice address
634 SW Mulvane Steet
Suite 100
Topeka, KS 66606
Phone
(785) 295-7979
Fax
(785) 295-7996
NPI assigned
Aug 9, 2005
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00785 KS Primary

Addresses

Primary practice location

634 SW Mulvane Steet
Suite 100
Topeka, KS 66606

Mailing address

Dept CH 14389
Palatine, IL 60055-4389
Phone (785) 295-5307

Other identifiers 2

IdentifierTypeStateIssuer
042745OtherKSBC/BS
100401540AMedicaidKS

Other names 1

  • Kathy L Austin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000955 KS Practitioner - Physician Assistant 8426097189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

634 SW Mulvane St
Topeka, KS 66606-1678

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Clinics on Operating Div of St Fran Hea Ctr Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 14, 2017 Accepting new patients
Kansas Emergency Services PA Physician Assistant Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

Dept CH 14389
Palatine, IL 60055

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

634 SW Mulvane St
Ste 100
Topeka, KS 66606
Phone (785) 270-7692

403 Sycamore St
Valley Falls, KS 66088
Phone (785) 865-7512

Interoperability endpoints

  • Direct secure messaging: khershberger190907@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1255332680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 14389",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600554389",
            "telephone_number": "785-295-5307",
            "fax_number": "785-270-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE STEET",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66606",
            "telephone_number": "785-295-7979",
            "fax_number": "785-295-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "KATHY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "042745",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100401540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "AUSTIN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.