Individual provider Active NPI

Kimberly L Hebert, PAC

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1467436816
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1500674 Issued in KS
Practice address
3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227
Phone
(316) 462-6200
Fax
(316) 462-6201
NPI assigned
Nov 30, 2005
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1500674 KS Primary

Addresses

Primary practice location

3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227

Mailing address

3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1227
Phone (316) 462-6200

Other identifiers 1

IdentifierTypeStateIssuer
100364290EMedicaidKS

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
I20050531000323 KS Practitioner - Physician Assistant 0244272342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Family Physicians, LLCGroup PAC ID 9133114218, 5 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1228
Phone (316) 462-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1500674KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates LLC Family Medicine PastSince Aug 1, 2001 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Family Medicine PastSince Apr 1, 2008 Accepting new patients
Wholewoman Center, PLLC Past Accepting new patients
Kansas Imaging Consultants, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kimberly.hebert@khindirect.org

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 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1467436816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "1500674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100364290E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.