Individual provider Active NPI

Kelcie L Strecker, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1336572940
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01628 Issued in KS
Practice address
3511 Clinton PL Ste C
Lawrence, KS 66047-2213
Phone
(785) 331-4488
Fax
(785) 331-4338
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 15-01628 KS Primary

Addresses

Primary practice location

3511 Clinton PL Ste C
Lawrence, KS 66047-2213

Mailing address

2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518

Other practice location 1

2921 SW Wanamaker Dr
Topeka, KS 66614-5328
Phone (785) 272-6860

Other names 1

  • Kelcie L Hubach 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
I20140207001651 KS Practitioner - Physician Assistant 8022247337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

2200 SW 6TH Ave
Topeka, KS 66606-1707

2200 SW 6TH St
Topeka, KS 66606-1707
Phone (785) 354-8518

2921 Swwanamaker Dr
Topeka, KS 66614-5328
Phone (785) 272-6860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Clinic, PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Organizations & group practices 2

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 2

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1336572940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CLINTON PL STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472213",
            "telephone_number": "785-331-4488",
            "fax_number": "785-331-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 SW Wanamaker Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145328",
            "country_code": "US",
            "telephone_number": "785-272-6860",
            "fax_number": "785-272-5839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRECKER",
        "first_name": "KELCIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELCIE",
            "last_name": "HUBACH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.