Individual provider Active NPI

Anika Hartley, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1336011394
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03150 Issued in KS
Practice address
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone
(785) 371-4921
NPI assigned
Sep 19, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 15-03150 KS Primary

Addresses

Primary practice location

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082

Mailing address

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082

Other names 1

  • Ms. Anika Roy Former name

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
I20260302002931 KS Practitioner - Physician Assistant 8820570641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime TMS LLCGroup PAC ID 8820357908, 5 clinicians

Practice addresses (Care Compare)

1811 Wakarusa Dr
Suite 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15-03150KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prime TMS LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

1811 Wakarusa Dr
Ste 102
Lawrence, KS 66047
Phone (785) 371-4921

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1336011394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "ANIKA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIKA",
            "last_name": "ROY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.