Individual provider Active NPI

Michelle J Pruessner, PA-C

  • Physician Assistant
  • Atchison, KS
National Provider Identifier
1336122258
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501045 Issued in KS
Practice address
800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone
(913) 367-2131
Fax
(913) 674-2023
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 1501045 KS Primary

Addresses

Primary practice location

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other practice location 1

313 Utah St
Hiawatha, KS 66434-2313
Phone (785) 742-2131

Other practice location 2

1903 Euclid Ave
Horton, KS 66439-1238
Phone (785) 486-2468

Other practice location 3

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other practice location 4

1004 Progress Dr Ste 150
Lansing, KS 66043-6345
Phone (913) 297-3215

Other practice location 5

820 Ravenhill Dr Ste 104
Atchison, KS 66002-9230
Phone (913) 360-5829

Other practice location 6

801 Atchison St
Atchison, KS 66002-2352
Phone (913) 367-5020

Other identifiers 2

IdentifierTypeStateIssuer
30004234440001MedicaidKS
016289057OtherKSPTAN

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
I20051003000676 KS Practitioner - Physician Assistant 3971538596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amberwell Atchison AssociationGroup PAC ID 2466363858, 54 clinicians

Practice addresses (Care Compare)

1004 Progress Dr
Suite 145And180
Lansing, KS 66043-6326
Phone (913) 297-3215

311 W Locust St
Amberwell Troy Clinic
Troy, KS 66087-5252
Phone (913) 367-7300

800 Ravenhill Dr
Atchison, KS 66002-9204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501045KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amberwell Atchison Association CurrentSince Aug 1, 2016 Accepting new patients
Amberwell Atchison Association CurrentSince Oct 22, 2025 Accepting new patients
Amberwell Atchison Association Physician Assistant CurrentSince Aug 1, 2016 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Hiawatha Hospital Association, Inc. Past Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Hiawatha Hospital Association Inc Physician Assistant Past Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients
Amberwell Atchison Association Past Accepting new patients

Locations

801 Atchison St
Atchison, KS 66002
Phone (913) 367-5020

820 Ravenhill Dr
Ste 104
Atchison, KS 66002
Phone (913) 360-5829

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

800 Ravenhill Dr
Ste 100107
Atchison, KS 66002
Phone (913) 367-2131

1301 N 3rd St
Atchison, KS 66002
Phone (913) 362-7300

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

313 Utah St
Hiawatha, KS 66434
Phone (785) 742-3523

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

1903 Euclid Ave
Horton, KS 66439
Phone (785) 486-2468

1004 Progress Dr
Ste 150
Lansing, KS 66043
Phone (913) 297-3215

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

Organizations & group practices 10

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1336122258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR STE 100&107",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342313",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664391238",
            "country_code": "US",
            "telephone_number": "785-486-2468",
            "fax_number": "785-486-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436345",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ravenhill Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029230",
            "country_code": "US",
            "telephone_number": "913-360-5829",
            "fax_number": "913-674-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Atchison St",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660022352",
            "country_code": "US",
            "telephone_number": "913-367-5020",
            "fax_number": "913-367-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUESSNER",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004234440001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289057",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.