NPIMap

Individual provider Active NPI

Kelci J Burkey, PA-C

  • Physician Assistant
  • Great Bend, KS
National Provider Identifier
1487056305
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01769 Issued in KS
Practice address
906 McKinley St
Great Bend, KS 67530-4720
Phone
(620) 793-6990
Fax
(620) 793-3040
NPI assigned
Sep 23, 2014
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 15-01769 KS Primary

Addresses

Primary practice location

906 McKinley St
Great Bend, KS 67530-4720

Mailing address

1031 Jackson St
Great Bend, KS 67530-4219
Phone (620) 793-6990

Other practice location 1

252 W 9th St Ste A
Hoisington, KS 67544-1700
Phone (620) 653-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CBH@ClaraBarton.CernerDirect.com Direct

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
I20141030001523 KS Practitioner - Physician Assistant 7315168606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 W 9TH St
Hoisington, KS 67544-1706
Phone (620) 653-2114

906 McKinley St
Great Bend, KS 67530-4720
Phone (620) 793-6990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01769KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas Current Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Aug 17, 2015 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Past Accepting new patients

Locations

1031 Jackson St
Great Bend, KS 67530
Phone (620) 793-6990

906 McKinley St
Great Bend, KS 67530
Phone (620) 793-6990

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

252 W 9th St
Ste A
Hoisington, KS 67544
Phone (620) 653-2386

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/

Organizations & group practices 3

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 7

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1487056305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 JACKSON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304219",
            "telephone_number": "620-793-6990",
            "fax_number": "620-793-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MCKINLEY ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304720",
            "telephone_number": "620-793-6990",
            "fax_number": "620-793-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 W 9th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hoisington",
            "state": "KS",
            "postal_code": "675441700",
            "country_code": "US",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKEY",
        "first_name": "KELCI",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBH@ClaraBarton.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "Clara Barton Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "906 McKinley St",
            "city": "Great Bend",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675304720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.