Individual provider Active NPI

Vicki Lynn Webber, PA-C

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1306973052
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500489 Issued in KS
Practice address
16538 W 159TH Ter
Olathe, KS 66062-3924
Phone
(913) 829-1660
Fax
(913) 829-1770
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 1500489 KS Primary

Addresses

Primary practice location

16538 W 159TH Ter
Olathe, KS 66062-3924

Mailing address

16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 829-1660

Other identifiers 1

IdentifierTypeStateIssuer
200633760AMedicaidKS

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
I20090317000445 KS Practitioner - Physician Assistant 0648337774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

15435 W 134TH PL
Suite 103
Olathe, KS 66062-6135
Phone (913) 588-1227

16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 588-1227

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
89.5 of 100Reported as apm
Quality
79
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1500489KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. CurrentSince Dec 16, 2009 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Jan 1, 2024 Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

29475 W 189th Ter
Gardner, KS 66030
Phone (913) 445-5577

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

16538 W 159th Ter
Olathe, KS 66062
Phone (913) 355-8660

15435 W 134th Pl
Ste 103
Olathe, KS 66062
Phone (913) 355-7515

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

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 and National Provider Directory roles.

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1306973052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-829-1660",
            "fax_number": "913-829-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-829-1660",
            "fax_number": "913-829-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200633760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.