Holly Renee Gault, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0439378 Issued in KS

Practice address

3011 N Michigan St
Pittsburg, KS 66762-2546

Phone

(620) 231-9873

Fax

(620) 231-5062

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Southeast Kansas IncGroup PAC ID 7911816392, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Pittsburg, KS, CCN 171562
• Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.gault@chcsek.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Pittsburg, KS
  • NPI 1669474425
  Medicare reassignment Care Compare group NPD
• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Baxter Springs, KS
  • NPI 1487351086
  NPD
• Community Health Center of Southeast Kansas, Inc.

  dba CHC/Sek's Field Kindley Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Coffeyville, KS
  • NPI 1063844629
  NPD
• Ascension Via Christi Hospital Pittsburg, Inc.

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1831125087
  NPD (past)
• Community Health Center of Southeast Kansas, Inc

  • Federally Qualified Health Center (FQHC)
  • Pittsburg, KS
  • NPI 1174525943
  NPD (past)
• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  Care Compare affiliation
• Southerncare, Inc.

  dba Gentiva

  • Community Based Hospice Care Agency
  • Pittsburg, KS
  • NPI 1063459535
  Care Compare affiliation

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1497194781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013017864",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0439378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Frogge, M.D.
• Raegan Nicole Garbin
• Jennifer Gardner, APRN
• Kelli P Gariglietti, PHD
• Mindi Suzanne Garner, D.O.
• Richard Allan Gellender, DO
• Generations Healthcare LLC
• Genoa Healthcare LLC
• Amy C Gibson-Bebee, APRN
• Kelly Gillette, LCP

• Family Medicine Physician in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.