NPIMap

Individual provider Active NPI

Michael D Nordquist, DO

  • Family Medicine Physician
  • Colby, KS
National Provider Identifier
1558867580
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-45030 Issued in KS
Practice address
310 E College Dr
Colby, KS 67701-3716
Phone
(785) 462-6184
Fax
(785) 460-1490
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018023424 MO
Family Medicine Physician 207Q00000X 05-45030 KS Primary

Addresses

Primary practice location

310 E College Dr
Colby, KS 67701-3716

Mailing address

310 E College Dr
Colby, KS 67701-3716
Phone (785) 462-6184

Other practice location 1

100 E College Dr
Colby, KS 67701-3799
Phone (785) 462-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803002499 KS Practitioner - Family Practice 6507113420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center IncGroup PAC ID 8729996467, 30 clinicians

Practice addresses (Care Compare)

310 E College Dr
Family Center for Health Care
Colby, KS 67701-3716
Phone (785) 462-6184

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Citizens Medical Center, Inc. Current Accepting new patients
Citizens Medical Center, Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Citizens Medical Center, Inc. Past Accepting new patients

Locations

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

310 E College Dr
Colby, KS 67701
Phone (785) 462-6184

Interoperability endpoints

  • Direct secure messaging: mnordquist661156@direct.ochin.org

Organizations & group practices 4

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 6

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1558867580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184",
            "fax_number": "785-460-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E College Dr",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677013799",
            "country_code": "US",
            "telephone_number": "785-462-7511",
            "fax_number": "785-460-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018023424",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-45030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.