Active NPI
Kathleen Patricia Patterson, PA-C
- Physician Assistant
- Fort Riley, KS
National Provider Identifier
1457887408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024940
- Practice address
- 600 Caisson Hill Rd
Fort Riley, KS 66442-7037 - Phone
- (785) 239-7151
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1142000 | KS | |
| Physician Assistant | 363A00000X | 024940 | NY | Primary |
Addresses
Primary practice location
600 Caisson Hill Rd
Fort Riley, KS 66442-7037
Mailing address
1004 Burton PL
Manhattan, KS 66503-9801
Phone (561) 308-6511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
159 N Sangamon St
Suite 200
Chicago, IL 60607-2201
Phone (516) 505-7200
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142000 | KS | MD | Physician Assistant |
| 024940 | NY | MD | Physician Assistant |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1457887408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 BURTON PL",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665039801",
"telephone_number": "561-308-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CAISSON HILL RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427037",
"telephone_number": "785-239-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "KATHLEEN",
"middle_name": "PATRICIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1142000",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.