Kelsey Renee Hott, PA-C

Individual provider Active NPI Physician Assistant · Greensburg, KS

NPI 1386896090 · NPPES record last updated Sep 26, 2011

Key facts

NPI
1386896090
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
15-01383 (KS)
Practice address
721 W Kansas Ave
Greensburg, KS 67054-1633
Phone
(620) 723-2127
Fax
(620) 723-1037
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Great Plains of Kiowa Co Inc (6 clinicians)
Kiowa County Memorial Hospital (6 clinicians)

Practice addresses (Care Compare)

721 W Kansas Ave
Greensburg, KS 67054-1633

Hospital & facility affiliations

  • Hospice of the Prairie Home health agency · Dodge City, KS · CCN 178005
  • Kiowa County Memorial Hospital Hospital · Greensburg, KS · CCN 171332
  • Pratt Regional Medical Center Hospital · Pratt, KS · CCN 170027
  • Medicine Lodge Memorial Hospital Hospital · Medicine Lodge, KS · CCN 171334
  • Stafford County Hospital Hospital · Stafford, KS · CCN 171323
  • Kiowa County Memorial Hospital Nursing home · CCN 17Z332

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101014000591 KS Practitioner - Physician Assistant 9638235583 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01383KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kiowa County Memorial Hospital Current
since Jan 1, 2021
Accepting new patients

Locations

721 W Kansas Ave
#1
Greensburg, KS 67054

721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01383 KS Yes

Addresses

Primary practice location

721 W Kansas Ave
Greensburg, KS 67054-1633

Mailing address

721 W Kansas Ave
Greensburg, KS 67054-1633
Phone (304) 822-3838

Other names

  • Kelsey Renee Meador Former name

Other providers in Greensburg, KS

All providers in Greensburg, KS · Physician Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.