Individual provider Active NPI

Kristin Kathleen Sands, PA-C

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1487868923
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501163 Issued in KS
Practice address
151 W 151St St
Olathe, KS 66061-5305
Phone
(913) 764-1125
Fax
(913) 764-1186
NPI assigned
May 10, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2007006942 MO
Physician Assistant 363A00000X 1501163 KS Primary

Addresses

Primary practice location

151 W 151St St
Olathe, KS 66061-5305

Mailing address

153 W 151St St
Suite 100
Olathe, KS 66061-5348
Phone (913) 764-1125

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
I20160413001203 KS Practitioner - Physician Assistant 5597063289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson County Dermatology P.a.Group PAC ID 3870555428, 10 clinicians

Practice addresses (Care Compare)

151 W 151St St
Olathe, KS 66061-5305
Phone (913) 764-1125

153 W 151St St
Olathe, KS 66061-5300
Phone (913) 764-1125

Merit-based Incentive Payment System (MIPS)

Final score
79.01 of 100Reported as group
Quality
61.61
Improvement activities
40
Cost
81.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501163KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Dermatology P.a. CurrentSince Dec 1, 2016 Accepting new patients

Locations

151 W 151st St
Olathe, KS 66061
Phone (913) 764-1125

153 W 151st St
Ste 100
Olathe, KS 66061
Phone (913) 764-1125

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1487868923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "SUITE 100",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-764-1125",
            "fax_number": "913-764-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615305",
            "telephone_number": "913-764-1125",
            "fax_number": "913-764-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "KRISTIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2007006942",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.