Individual provider Active NPI

Riann Paige Tyree, PA

  • Medical Physician Assistant
  • Greensburg, KS
National Provider Identifier
1487277703
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-02417 Issued in KS
Practice address
721 W Kansas Ave
Greensburg, KS 67054-1633
Phone
(620) 723-2127
Fax
(207) 231-0376
NPI assigned
May 20, 2020
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 15-02417 KS Primary

Addresses

Primary practice location

721 W Kansas Ave
Greensburg, KS 67054-1633

Mailing address

721 W Kansas Ave
Greensburg, KS 67054-1633
Phone (620) 723-2127

Other practice location 1

721 W Kansas Ave
Greensburg, KS 67054-1602
Phone (620) 723-3341

Other identifiers 1

IdentifierTypeStateIssuer
30004727620001MedicaidKS

Other names 1

  • Riann Paige Heft Former name

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
I20201230001601 KS Practitioner - Physician Assistant 0143633677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Great Plains of Kiowa Co IncGroup PAC ID 8628987096, 6 clinicians
Kiowa County Memorial HospitalGroup PAC ID 9638589369, shared by 4 NPIs, 6 clinicians

Practice addresses (Care Compare)

721 W Kansas Ave
Greensburg, KS 67054-1633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02417KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kiowa County Memorial Hospital Clinic/Center CurrentSince Oct 1, 2022 Accepting new patients
Kiowa County Memorial Hospital Current Accepting new patients

Locations

721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127

Organizations & group practices 2

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1487277703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "620-723-2127",
            "fax_number": "620-723-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "620-723-2127",
            "fax_number": "207-231-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 W Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KS",
            "postal_code": "670541602",
            "country_code": "US",
            "telephone_number": "620-723-3341",
            "fax_number": "620-723-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYREE",
        "first_name": "RIANN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004727620001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIANN",
            "last_name": "HEFT",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, KS

Sources for this page

Verify at the official NPI Registry.