Individual provider Active NPI

Gage Andrew Reichert

  • Physician Assistant
  • Dresden, KS
National Provider Identifier
1265007678
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02514 Issued in KS
Practice address
514 1500TH Rd
Dresden, KS 67635-9518
Phone
(785) 545-8670
NPI assigned
May 26, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 15-02514 KS Primary

Addresses

Primary practice location

514 1500TH Rd
Dresden, KS 67635-9518

Mailing address

514 1500TH Rd
Dresden, KS 67635-9518
Phone (785) 545-8670

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
I20210928001958 KS Practitioner - Physician Assistant 9638576408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham County HospitalGroup PAC ID 8820067366, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

114 E Walnut St
Hill City, KS 67642-1722
Phone (785) 421-2191

304 W Prout St
Hill City, KS 67642-1435
Phone (785) 421-2121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graham County Hospital Current Accepting new patients
Graham County Hospital CurrentSince Sep 8, 2021 Accepting new patients
Graham County Hospital CurrentSince Sep 8, 2021 Accepting new patients

Locations

207 W Prout St
Hill City, KS 67642
Phone (785) 421-2121

304 W Prout St
Hill City, KS 67642
Phone (785) 421-2121

Interoperability endpoints

  • Direct secure messaging: gage.reichert.1@16187.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1265007678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 1500TH RD",
            "city": "DRESDEN",
            "state": "KS",
            "postal_code": "676359518",
            "telephone_number": "785-545-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 1500TH RD",
            "city": "DRESDEN",
            "state": "KS",
            "postal_code": "676359518",
            "telephone_number": "785-545-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "GAGE",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.