Individual provider Active NPI

Andrew J Klise, M.D.

  • Psychiatry Physician
  • Hays, KS
National Provider Identifier
1396001806
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2016-01242 Issued in NC
Practice address
208 E 7TH St
Hays, KS 67601-4139
Phone
(785) 628-2871
NPI assigned
Apr 9, 2012
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2016-01242 NC Primary

Addresses

Primary practice location

208 E 7TH St
Hays, KS 67601-4139

Mailing address

1008 Greens View Dr
Wooster, OH 44691-2660

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
I20201013001918 KS Practitioner - Psychiatry 5496049926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Toledo College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Plains Mental Health CenterGroup PAC ID 6204748783, 22 clinicians

Practice addresses (Care Compare)

208 E 7TH St
Hays, KS 67601-4139
Phone (785) 628-2871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01242NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Mental Health Center CurrentSince Oct 1, 2020 Accepting new patients

Locations

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1396001806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GREENS VIEW DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 7TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014139",
            "telephone_number": "785-628-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2016-01242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.