Individual provider Active NPI

Tracy Hoelting, PA

  • Medical Physician Assistant
  • Lawrence, KS
National Provider Identifier
1598135808
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1501842 Issued in KS
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

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022001654 KS Practitioner - Physician Assistant 8527377050 Reassigns benefits to 1 organization

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
Lawrence Family Practice Center PAGroup PAC ID 8426021684, 9 clinicians

Practice addresses (Care Compare)

4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 832-2865

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501842KSMDSurgical 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.