Individual provider Active NPI

Cheyanne Christine Williamson, PA-C

  • Medical Physician Assistant
  • Manhattan, KS
National Provider Identifier
1487176236
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-02012 Issued in KS
Practice address
2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone
(785) 537-4940
Fax
(785) 537-0836
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-02012 KS Primary

Addresses

Primary practice location

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462

Mailing address

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone (785) 537-4940

Other identifiers 1

IdentifierTypeStateIssuer
201165770BMedicaidKS

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
I20170825000077 KS Practitioner - Physician Assistant 9931471968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerpointe Physicians PAGroup PAC ID 7214284561, 9 clinicians

Practice addresses (Care Compare)

2103 Meadowlark Rd
Manhattan, KS 66502-4556
Phone (785) 537-1900

2331 Tuttle Creek Blvd
Manhattan, KS 66502-4462
Phone (785) 537-4940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02012KSMDMedical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1487176236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 TUTTLE CREEK BLVD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024462",
            "telephone_number": "785-537-4940",
            "fax_number": "785-537-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CHEYANNE",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201165770B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.