Individual provider Active NPI

Meganne Gourley, PA-C, ATC

  • Physician Assistant
  • Hays, KS
National Provider Identifier
1275646978
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12581 Issued in MN
Practice address
2500 Canterbury Dr Ste 112
Hays, KS 67601-2258
Phone
(785) 261-7599
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 7732 CT
Surgical Physician Assistant 363AS0400X 1503203 KS
Physician Assistant 363A00000X 12581 MN Primary
Physician Assistant 363A00000X 085-006084 IL

Addresses

Primary practice location

2500 Canterbury Dr Ste 112
Hays, KS 67601-2258

Mailing address

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Other practice location 1

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171205001523 MN Practitioner - Physician Assistant 6800176975 Reassigns benefits to 1 organization
I20190130001528 NE Practitioner - Physician Assistant 6800176975 Reassigns benefits to 1 organization
I20251223000746 KS Practitioner - Physician Assistant 6800176975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
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)

2500 Canterbury Dr
Suite 112
Hays, KS 67601-2258
Phone (785) 261-7599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12581MNMDPhysical Therapist
2313NEMDOccupational Therapist
085-006084ILMDPhysician Assistant
7732CTMDSurgical Physician Assistant
1503203KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Hays Medical Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jan 28, 2019 Accepting new patients
Allina Health System CurrentSince Jan 8, 2018 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2500 Canterbury Dr
Ste 112
Hays, KS 67601
Phone (785) 261-7599

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

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

215 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6655

Interoperability endpoints

  • Direct secure messaging: mgourley856536@direct.centracare.com

Organizations & group practices 8

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 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1275646978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR STE 112",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012258",
            "telephone_number": "785-261-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "MEGANNE",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "7732",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1503203",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12581",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-006084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.