NPIMap

Individual provider Active NPI

Kelsey Renee Hott, PA-C

  • Physician Assistant
  • Greensburg, KS
National Provider Identifier
1386896090
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01383 Issued in KS
Practice address
721 W Kansas Ave
Greensburg, KS 67054-1633
Phone
(620) 723-2127
Fax
(620) 723-1037
NPI assigned
Oct 14, 2008
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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 15-01383 KS Primary

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 1

  • Kelsey Renee Meador Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Great Plains of Kiowa Co IncGroup PAC ID 8628987096, 6 clinicians
Kiowa County Memorial HospitalGroup PAC ID 9638589369, shared by 4 NPIs, 6 clinicians

Practice addresses (Care Compare)

721 W Kansas Ave
Greensburg, KS 67054-1633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01383KSMDPhysician Assistant

Practice roles

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

Locations

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

721 W Kansas Ave
#1
Greensburg, KS 67054

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1386896090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "304-822-3838",
            "fax_number": "304-822-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "620-723-2127",
            "fax_number": "620-723-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTT",
        "first_name": "KELSEY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MEADOR",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, KS

Sources for this page

Verify at the official NPI Registry.