Individual provider Active NPI

Kerri Maxcy, PA

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1255711768
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01890 Issued in KS
Practice address
2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone
(785) 537-4940
Fax
(785) 537-0836
NPI assigned
Jun 1, 2015
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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 15-01890 KS Primary

Addresses

Primary practice location

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462

Mailing address

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone (785) 537-4940

Other identifiers 1

IdentifierTypeStateIssuer
201136990BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, 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

Enrollment IDStateProvider typePAC IDDetails
I20150928002651 AL Practitioner - Physician Assistant 6204144017
I20160907000787 KS Practitioner - Physician Assistant 6204144017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe Physicians PAGroup PAC ID 7214284561, 9 clinicians

Practice addresses (Care Compare)

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone (785) 537-4940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital CurrentSince Jul 17, 2016 Accepting new patients

Locations

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

Organizations & group practices 2

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 1

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1255711768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXCY",
        "first_name": "KERRI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136990B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.