Individual provider Active NPI

Melissa Gilsdorf, PA-C

  • Physician Assistant
  • Concordia, KS
National Provider Identifier
1346816063
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1824 Quail Rd
Concordia, KS 66901-6805
Phone
(785) 427-7121
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 Primary

Addresses

Primary practice location

1824 Quail Rd
Concordia, KS 66901-6805

Mailing address

1824 Quail Rd
Concordia, KS 66901-6805
Phone (785) 427-7121

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
I20220627001317 KS Practitioner - Physician Assistant 7416336169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County HospitalGroup PAC ID 0941118061, 14 clinicians
Great Plains of Smith Co IncGroup PAC ID 2860300530, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

313 E Franklin
Lincoln, KS 67455-0467
Phone 7855244474256

921 E Hwy 36
Smith Center, KS 66967-9582
Phone (785) 282-6834

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Smith Co., Inc. CurrentSince Dec 1, 2025 Accepting new patients
Great Plains of Smith Co., Inc. CurrentSince Dec 1, 2025 Accepting new patients
Lincoln County Hospital CurrentSince Jun 7, 2022 Accepting new patients
Great Plains of Smith Co Inc Past Accepting new patients

Locations

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1346816063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 QUAIL RD",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669016805",
            "telephone_number": "785-427-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 QUAIL RD",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669016805",
            "telephone_number": "785-427-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSDORF",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

Verify at the official NPI Registry.