NPIMap

Individual provider Active NPI

Debra S Brockel, PA

  • Physician Assistant
  • Hoisington, KS
National Provider Identifier
1316047715
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00552 Issued in KS
Practice address
252 W 9TH St Ste a
Hoisington, KS 67544-1700
Phone
(620) 653-2386
Fax
(620) 653-4186
NPI assigned
Sep 25, 2006
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 15-00552 KS Primary

Addresses

Primary practice location

252 W 9TH St Ste a
Hoisington, KS 67544-1700

Mailing address

252 W 9TH St
Hoisington, KS 67544-1725
Phone (620) 653-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CBH@ClaraBarton.CernerDirect.com Direct

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
I20050420000632 KS Practitioner - Physician Assistant 9234177205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 W 9TH St
Hoisington, KS 67544-1706
Phone (620) 653-2114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00552KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Oct 2, 2006 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas CurrentSince Oct 2, 2006 Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Oct 2, 2006 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Past Accepting new patients

Locations

906 McKinley St
Great Bend, KS 67530
Phone (620) 793-6990

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

252 W 9th St
Ste A
Hoisington, KS 67544
Phone (620) 653-2386

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/

Organizations & group practices 4

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 7

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": "1677715200000",
    "number": "1316047715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W 9TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441725",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W 9TH ST STE A",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441700",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKEL",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBH@ClaraBarton.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "Clara Barton Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "252 W 9th St Ste A",
            "city": "Hoisington",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675441700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoisington, KS

Sources for this page

Verify at the official NPI Registry.