Individual provider Active NPI

Shane Jay Alford, PA

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1396973855
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
332 Woodlawn CT
Lawrence, KS 66049-1855
Phone
(785) 856-7870
Fax
(888) 778-9471
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

332 Woodlawn CT
Lawrence, KS 66049-1855

Mailing address

332 Woodlawn CT
Lawrence, KS 66049-1855
Phone (785) 856-7870

Other identifiers 1

IdentifierTypeStateIssuer
KMAPOtherKS200631010C

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
I20091203000180 KS Practitioner - Physician Assistant 5294874301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

1301 S Main St
Ottawa, KS 66067-3537

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
  • Edwards County Medical Center Hospital, Kinsley, KS, CCN 171317

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
61.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
Hays Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 3, 2019 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 3, 2019 Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients
SLN Medical Specialists LLC Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2500 Canterbury Dr
Ste 112
Hays, KS 67601
Phone (785) 261-7599

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888

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

Interoperability endpoints

  • Direct secure messaging: salford661592@adventhealth.direct-ci.com

Organizations & group practices 8

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 4

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1396973855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WOODLAWN CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491855",
            "telephone_number": "785-856-7870",
            "fax_number": "888-778-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WOODLAWN CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491855",
            "telephone_number": "785-856-7870",
            "fax_number": "888-778-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "SHANE",
        "middle_name": "JAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "200631010C",
            "identifier": "KMAP",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.