Individual provider Active NPI

Amy Alyssa Benson, PA-C

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1497235378
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02124 Issued in KS
Practice address
15435 W 134TH PL Ste 101
Olathe, KS 66062-6135
Phone
(913) 355-7520
Fax
(913) 782-2924
NPI assigned
Aug 20, 2018
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 15-02124 KS Primary

Addresses

Primary practice location

15435 W 134TH PL Ste 101
Olathe, KS 66062-6135

Mailing address

8940 State Ave
Kansas City, KS 66112-1646
Phone (913) 596-1313

Other practice location 1

8940 State Ave
Kansas City, KS 66112-1646
Phone (913) 596-1313

Other practice location 2

300 W North St
Sedan, KS 67361-1051
Phone (620) 725-3818

Other names 1

  • Amy Alyssa Fine 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
I20181022001654 KS Practitioner - Physician Assistant 4880947811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

15435 W 134TH PL
Suite 103
Olathe, KS 66062-6135
Phone (913) 588-1227

16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 588-1227

23450 College Blvd
Olathe, KS 66061-8702
Phone (913) 588-1227

29475 W 189TH Ter
Gardner, KS 66030-9428
Phone (913) 588-1227

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
89.5 of 100Reported as apm
Quality
79
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc CurrentSince Jan 1, 2024 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince May 23, 2022 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince May 23, 2022 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Jan 1, 2024 Accepting new patients
James M McDermott DO Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

15435 W 134th Pl
Ste 101
Olathe, KS 66062
Phone (913) 355-7520

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

Interoperability endpoints

  • Direct secure messaging: abenson755523@direct.kuha.org

Organizations & group practices 7

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1497235378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121646",
            "telephone_number": "913-596-1313",
            "fax_number": "913-596-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 W 134TH PL STE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626135",
            "telephone_number": "913-355-7520",
            "fax_number": "913-782-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8940 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121646",
            "country_code": "US",
            "telephone_number": "913-596-1313",
            "fax_number": "913-596-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W North St",
            "address_purpose": "LOCATION",
            "city": "Sedan",
            "state": "KS",
            "postal_code": "673611051",
            "country_code": "US",
            "telephone_number": "620-725-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "AMY",
        "middle_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FINE",
            "middle_name": "ALYSSA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.