Individual provider Active NPI

Charisse Nicole Symmonds, DO

  • Internal Medicine Physician
  • Emporia, KS
National Provider Identifier
1366675910
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-37264 Issued in KS
Practice address
1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Phone
(620) 342-2521
Fax
(620) 342-6520
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-37264 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589

Mailing address

1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Phone (620) 342-2521

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-5242

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address csymmonds46363@stormontvaildirect.org Direct COTTON-O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address csymmonds46363@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140617001956 KS Practitioner - Internal Medicine 8729202585 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

Practice addresses (Care Compare)

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

1211 Stanton St
Emporia, KS 66801-6158
Phone (620) 208-9888

1301 W 12TH Ave
Emporia, KS 66801-2590

1301 W 12TH Ave 301 and
205 NRH Medical Partners Primary Care
Emporia, KS 66801-2590
Phone (620) 343-2376

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Wichita, KS, CCN 178088
  • Home Town Health Care Home health agency, Fredonia, KS, CCN 178068
  • Hand in Hand Hospice Hospice, Emporia, KS, CCN 171518
  • Angels Care Hospice Hospice, Wichita, KS, CCN 171599
  • Newman Regional Health Hospital, Emporia, KS, CCN 171384
  • Flint Hills Care and Rehabilitation Center Nursing home, Emporia, KS, CCN 175280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital CurrentSince Jan 1, 2022 Accepting new patients
Newman Memorial County Hospital CurrentSince Jan 1, 2022 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 2017 Accepting new patients
County of Franklin Current Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Dr. Charisse Symmonds, LLC CurrentSince Aug 1, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
County of Franklin Current Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Mar 12, 2022 Accepting new patients
Newman Memorial County Hospital Past Accepting new patients
Recover-Care Emporia LLC Past Accepting new patients

Locations

1301 W 12th Ave
Ste 205
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 202
Emporia, KS 66801
Phone (316) 342-2521

1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900

1301 W 12th Ave
Emporia, KS 66801
Phone (620) 342-2521

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1211 Stanton St
Emporia, KS 66801
Phone (620) 208-9888

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: charisse.symmonds@newmanrhdirect.org
  • Direct secure messaging: csymmonds46363@stormontvaildirect.org

Organizations & group practices 12

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 7

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1366675910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 202",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012589",
            "telephone_number": "620-342-2521",
            "fax_number": "620-342-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 202",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012589",
            "telephone_number": "620-342-2521",
            "fax_number": "620-342-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-5242",
            "fax_number": "785-354-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYMMONDS",
        "first_name": "CHARISSE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2022-10-25",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-37264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csymmonds46363@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6725 SW 29th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666145625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csymmonds46363@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6725 SW 29th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666145625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.