Active NPI
Tracy Hoelting, PA
- Medical Physician Assistant
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1501842
- Practice address
- 4951 W 18TH St
Lawrence, KS 66047-2090 - Phone
- (785) 841-6540
- Fax
- (785) 841-3129
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1501842 | KS | |
| Medical Physician Assistant | 363AM0700X | 1501842 | KS | Primary |
Addresses
Primary practice location
4951 W 18TH St
Lawrence, KS 66047-2090
Mailing address
1000 Carondelet Dr
Provider Enrollment
Kansas City, KS 66112-1636
Phone (816) 943-5744
Other practice location 1
1150 N 75th Pl Ste 200
Kansas City, KS 66112-2466
Phone (913) 299-2100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 832-2865
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501842 | KS | MD | Surgical Physician Assistant |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lawrence, KS
- NPI 1366654253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1598135808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"address_2": "PROVIDER ENROLLMENT",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661121636",
"telephone_number": "816-943-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 W 18TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472090",
"telephone_number": "785-841-6540",
"fax_number": "785-841-3129"
}
],
"practiceLocations": [
{
"address_1": "1150 N 75th Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661122466",
"country_code": "US",
"telephone_number": "913-299-2100",
"fax_number": "913-299-4205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOELTING",
"first_name": "TRACY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KS",
"license": "1501842",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "1501842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.