NPIMap

Individual provider Active NPI

Nikolas D Ford, PA

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1326156381
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-01151 Issued in KS
Practice address
1911 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 682-7546
Fax
(316) 682-7554
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-01151 KS Primary
Emergency Medicine Physician 207P00000X 15-01151 KS

Addresses

Primary practice location

1911 N Webb Rd
Wichita, KS 67206-3405

Mailing address

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

Other identifiers 2

IdentifierTypeStateIssuer
200423310BMedicaidKS
P00606972OtherKSPALMETTO (RRMC)

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
I20070416000185 KS Practitioner - Physician Assistant 8022113323 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsborg Community Hospital Association CurrentSince Dec 1, 2019 Accepting new patients
William Newton Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Greenwood County Hospital Emergency Medicine CurrentSince Nov 19, 2012 Accepting new patients
William Newton Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Lindsborg Community Hospital Association CurrentSince Dec 1, 2019 Accepting new patients
Hospital District No 1 Marion Co CurrentSince Sep 4, 2018 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Galichia Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Medical Specialties of Kansas, L.L.C. Past Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients
Four Chambers Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

100 W 16th St
Eureka, KS 67045
Phone (620) 583-5274

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2177

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • Direct secure messaging: nicholas.ford.1@12044.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1326156381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "NIKOLAS",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01151",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "15-01151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423310B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO (RRMC)",
            "identifier": "P00606972",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.