Individual provider Active NPI

Megan Christine Holick, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1346754199
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02052 Issued in KS
Practice address
835 N Hillside St
Wichita, KS 67214-4913
Phone
(316) 685-4395
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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 15-02052 KS Primary

Addresses

Primary practice location

835 N Hillside St
Wichita, KS 67214-4913

Mailing address

835 N Hillside St
Wichita, KS 67214-4913
Phone (316) 685-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171227001971 KS Practitioner - Physician Assistant 1456619204 Reassigns benefits to 2 organizations
I20210331002280 MO Practitioner - Physician Assistant 1456619204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

Practice addresses (Care Compare)

11550 Granada St
Leawood, KS 66211-1453
Phone (913) 451-7546

3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 524-4747

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. CurrentSince Apr 15, 2021 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
Twin Ports Dermatology Inc Physician Assistant Past Accepting new patients

Locations

11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546

7901 W 135th St
Overland Park, KS 66223
Phone (913) 451-7546

8380 N Tullis Ave
Kansas City, MO 64158
Phone (816) 524-4747

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

Interoperability endpoints

  • Direct secure messaging: megan.holick@khindirect.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1346754199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLICK",
        "first_name": "MEGAN",
        "middle_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.