Individual provider Active NPI

Tricia D Gill

  • Medical Physician Assistant
  • Manhattan, KS
National Provider Identifier
1265533384
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1500764 Issued in KS
Practice address
4101 Anderson Ave
Manhattan, KS 66503-7588
Phone
(785) 587-4101
Fax
(785) 587-9090
NPI assigned
Sep 25, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1500764 KS Primary

Addresses

Primary practice location

4101 Anderson Ave
Manhattan, KS 66503-7588

Mailing address

4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101

Other practice location 1

3520 SW 6th Ave
Topeka, KS 66606-2806
Phone (785) 354-9591

Other identifiers 1

IdentifierTypeStateIssuer
100413400AMedicaidKS

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
I20050222000732 KS Practitioner - Physician Assistant 4082666144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonecreek Family Physicians, LLPGroup PAC ID 9335121565, 18 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101

930 Hayes Dr
Suite B
Manhattan, KS 66502-5721
Phone (785) 565-0016

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00764KSMDAddiction (Substance Use Disorder) Counselor
1500764KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Current Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

3520 SW 6th Ave
Topeka, KS 66606
Phone (785) 234-0880

601 SW Corporate Vw
Ste 200
Topeka, KS 66615
Phone (785) 234-0880

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: tricia.gill.1@20807.direct.athenahealth.com

Organizations & group practices 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265533384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062806",
            "country_code": "US",
            "telephone_number": "785-354-9591",
            "fax_number": "785-354-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "TRICIA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413400A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.