Individual provider Active NPI

Nancy J Zidek, M.D.

  • Family Medicine Physician
  • Holton, KS
National Provider Identifier
1528048063
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0425294 Issued in KS
Practice address
1603 W 4TH St
Holton, KS 66436-1153
Phone
(785) 364-3205
Fax
(785) 364-3468
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0425294 KS Primary

Addresses

Primary practice location

1603 W 4TH St
Holton, KS 66436-1153

Mailing address

22391 Neuchatel Rd
Onaga, KS 66521-9572
Phone (785) 889-4102

Other practice location 1

112 E 2nd St
Frankfort, KS 66427-1403
Phone (785) 292-4451

Other practice location 2

606 1st St
Centralia, KS 66415-9637
Phone (785) 857-3334

Other practice location 3

120 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-4274

Other practice location 4

114 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-4241

Other practice location 5

206 S Grand Ave
Saint Marys, KS 66536-1637
Phone (785) 437-3734

Other practice location 6

302 Main St
Westmoreland, KS 66549-9684
Phone (785) 457-9890

Other identifiers 1

IdentifierTypeStateIssuer
100168380BMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chnzidek@chcsks.cernerdirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000591 KS Practitioner - Family Practice 1951343896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare System IncGroup PAC ID 8325031529, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

120 W 8TH St
Onaga, KS 66521-9574
Phone (785) 889-4274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0425294KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare System, Inc Family Medicine CurrentSince Jul 1, 1998 Accepting new patients
Community Healthcare System, Inc Family Medicine CurrentSince Jul 1, 1998 Accepting new patients
Community Healthcare System, Inc Family Medicine Current Accepting new patients
Community Healthcare System, Inc CurrentSince Dec 1, 2025 Accepting new patients
Frankfort Community Care Home, Inc. Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients

Locations

606 1st St
Centralia, KS 66415
Phone (785) 857-3334

112 E 2nd St
Frankfort, KS 66427
Phone (785) 292-4451

1603 W 4th St
Holton, KS 66436
Phone (785) 364-3205

206 S Grand Ave
Saint Marys, KS 66536
Phone (785) 437-3734

Interoperability endpoints

  • Direct secure messaging: nancy.zidek@khindirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Frankfort Community Care HomeFrankfort, KS, CCN 175417 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1528048063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22391 NEUCHATEL RD",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665219572",
            "telephone_number": "785-889-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361153",
            "telephone_number": "785-364-3205",
            "fax_number": "785-364-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KS",
            "postal_code": "664271403",
            "country_code": "US",
            "telephone_number": "785-292-4451",
            "fax_number": "785-292-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 1st St",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "KS",
            "postal_code": "664159637",
            "country_code": "US",
            "telephone_number": "785-857-3334",
            "fax_number": "785-857-3397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4241",
            "fax_number": "785-889-4749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "KS",
            "postal_code": "665361637",
            "country_code": "US",
            "telephone_number": "785-437-3734",
            "fax_number": "785-437-6186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Main St",
            "address_purpose": "LOCATION",
            "city": "Westmoreland",
            "state": "KS",
            "postal_code": "665499684",
            "country_code": "US",
            "telephone_number": "785-457-9890",
            "fax_number": "785-457-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIDEK",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0425294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168380B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chnzidek@chcsks.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1603 W 4th St",
            "city": "Holton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "664361153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.