NPIMap

Individual provider Active NPI

John A Haefele, M.D.

  • Family Medicine Physician
  • Marysville, KS
National Provider Identifier
1467475186
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
429641 Issued in KS
Practice address
1902 May St
Marysville, KS 66508-1200
Phone
(785) 562-3942
Fax
(785) 562-5149
NPI assigned
Jul 25, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 429641 KS Primary

Addresses

Primary practice location

1902 May St
Marysville, KS 66508-1200

Mailing address

1902 May St
Marysville, KS 66508-1200
Phone (785) 562-3942

Other identifiers 4

IdentifierTypeStateIssuer
102106OtherKSBC/BS OF KS
100421640AMedicaidKS
170129641MedicaidNE
433780OtherKSFIRSTGUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000943 KS Practitioner - Family Practice 1557250206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Community Memorial Healthcare IncGroup PAC ID 6608763503, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

1902 May St
Marysville, KS 66508-1200
Phone (785) 562-3942

708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-2311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
429641KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Healthcare, Inc CurrentSince Aug 12, 2002 Accepting new patients
Community Memorial Healthcare, Inc. Current Accepting new patients
Community Memorial Healthcare, Inc. CurrentSince Aug 12, 2002 Accepting new patients
Community Memorial Healthcare, Inc. Current Accepting new patients
Community Memorial Healthcare, Inc. Current Accepting new patients

Locations

1902 May St
Marysville, KS 66508
Phone (785) 562-3942

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd

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 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1467475186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MAY ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081200",
            "telephone_number": "785-562-3942",
            "fax_number": "785-562-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MAY ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081200",
            "telephone_number": "785-562-3942",
            "fax_number": "785-562-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEFELE",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "429641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS",
            "identifier": "102106",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421640A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170129641",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "433780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

Verify at the official NPI Registry.