Candace Lynette Lira, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01470 Issued in KS

Practice address

507 E 16TH St Ste 1
Wellington, KS 67152-2828

Phone

(620) 326-3301

Fax

(620) 326-3301

NPI assigned

Aug 22, 2011

Last updated

May 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians

Sumner County Family Care Center PAGroup PAC ID 7719973585, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• William Newton Hospital Hospital, Winfield, KS, CCN 171383

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.lira@khindirect.org

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.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment Care Compare group
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Medical Group Via Christi, PA

  dba Ascension Via Christi Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1073523452
  NPD (past)

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Interim Health Care of Wichita Inc

  dba Interim Health Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1548264229
  Care Compare affiliation
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1508146549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301",
            "fax_number": "620-326-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301",
            "fax_number": "620-326-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA",
        "first_name": "CANDACE",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200738580",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "111241001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1508146549",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12277183",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khan Noohani MD PA
• Laboratory Corporation of America Holdings
• Kira Lake, LMSW
• Michele R Lawrence, B.A., AAPS
• Annette Linnebur, PA-C
• Long Term Care Specialists
• Timothy James Mathes
• Tamara L McCue, D.O.
• Michael D Gordon OD PA
• Amber Lynne Morgan, LMSW

• Physician Assistant in Wellington, KS
• Providers in Wellington, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.