NPIMap

Individual provider Active NPI

Theresia A Neill, M.D.

  • Family Medicine Physician
  • Norton, KS
National Provider Identifier
1295269140
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-41236 Issued in KS
Practice address
807 N State St
Norton, KS 67654-1403
Phone
(785) 877-3305
Fax
(785) 877-3076
NPI assigned
Apr 18, 2017
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-41236 KS Primary

Addresses

Primary practice location

807 N State St
Norton, KS 67654-1403

Mailing address

807 N State St
Norton, KS 67654-1403
Phone (785) 877-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223000755 KS Practitioner - Family Practice 9335417963 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips County HospitalGroup PAC ID 7012231251, shared by 4 NPIs, 11 clinicians
Osborne County Memorial HospitalGroup PAC ID 7517877848, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

1719 Hwy 183
Phillipsburg, KS 67661-2549
Phone (785) 543-5211

237 W Harrison St
Osborne, KS 67473-1500
Phone (785) 346-2510

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-41236KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rooks County Health Center Family Medicine CurrentSince May 24, 2023 Accepting new patients
Rooks County Health Center CurrentSince May 24, 2023 Accepting new patients
Phillips County Hospital CurrentSince Sep 30, 2023 Accepting new patients
Osborne County Memorial Hospital Family Medicine CurrentSince Sep 26, 2023 Accepting new patients
Phillips County Hospital CurrentSince Sep 30, 2023 Accepting new patients
Osborne County Memorial Hospital Current Accepting new patients
Phillips County Hospital Current Accepting new patients
Rooks County Health Center Family Medicine CurrentSince May 24, 2023 Accepting new patients
Osborne County Memorial Hospital Past Accepting new patients

Locations

237 W Harrison St
Osborne, KS 67473
Phone (785) 346-2121

237 W Harrison St
Ste 100
Osborne, KS 67473

1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
  • Direct secure messaging: tneill@ntcohosp.securechart.com

Organizations & group practices 9

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 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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1295269140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N STATE ST",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "676541403",
            "telephone_number": "785-877-3305",
            "fax_number": "785-877-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N STATE ST",
            "city": "NORTON",
            "state": "KS",
            "postal_code": "676541403",
            "telephone_number": "785-877-3305",
            "fax_number": "785-877-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "THERESIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, KS

Sources for this page

Verify at the official NPI Registry.