Individual provider Active NPI

Amy S McHenry, PA

  • Physician Assistant
  • Paola, KS
National Provider Identifier
1427000421
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500337 Issued in KS
Practice address
1318 Kansas Dr
Paola, KS 66071-2107
Phone
(913) 557-5678
Fax
(913) 557-5681
NPI assigned
May 17, 2006
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 1500337 KS Primary

Addresses

Primary practice location

1318 Kansas Dr
Paola, KS 66071-2107

Mailing address

1318 Kansas Dr
Paola, KS 66071-2107
Phone (913) 557-5678

Other identifiers 1

IdentifierTypeStateIssuer
100426060AMedicaidKS

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
I20050916000587 KS Practitioner - Physician Assistant 1052352168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami County Medical Center IncGroup PAC ID 2163311457, 25 clinicians

Practice addresses (Care Compare)

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1500337KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Miami County Medical Center Inc. CurrentSince Nov 26, 2018 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Miami County Medical Center Inc CurrentSince Nov 26, 2018 Accepting new patients

Locations

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

8708 W 135th St
Overland Park, KS 66221
Phone (913) 851-9800

1318 Kansas Dr
Paola, KS 66071
Phone (913) 557-5678

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

2102 Baptiste Dr
Paola, KS 66071
Phone (913) 557-2300

22386 S Harrison St
Spring Hill, KS 66083
Phone (913) 592-0010

Organizations & group practices 5

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 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1427000421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 KANSAS DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660712107",
            "telephone_number": "913-557-5678",
            "fax_number": "913-557-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 KANSAS DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660712107",
            "telephone_number": "913-557-5678",
            "fax_number": "913-557-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100426060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.