Alicia R Chennell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-36397 Issued in KS

Practice address

1101 N Main St
McPherson, KS 67460

Phone

(620) 504-5996

Fax

(888) 263-5552

NPI assigned

Jun 24, 2011

Last updated

Jul 18, 2022By 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 1

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chennell Family Wellness LLCGroup PAC ID 6507118460, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McPherson Hospital Hospital, McPherson, KS, CCN 170105

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chennell Family Wellness, LLC

  • Family Medicine Physician
  • McPherson, KS
  • NPI 1538647755
  Medicare reassignment Care Compare group NPD Authorized official
• Aledade Care Solutions of Kansas, P.a.

  • Family Medicine Physician
  • Bethesda, MD
  • NPI 1609594712
  NPD Authorized official
• McPherson Hospital, Inc.

  • General Acute Care Hospital
  • McPherson, KS
  • NPI 1730297409
  NPD (past)

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

• McPherson Hospital, Inc.

  • General Acute Care Hospital
  • McPherson, KS
  • NPI 1730297409
  Care Compare affiliation

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1639465982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602845",
            "telephone_number": "620-504-5996",
            "fax_number": "888-263-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "67460",
            "telephone_number": "620-504-5996",
            "fax_number": "888-263-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNELL",
        "first_name": "ALICIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-36397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201096280A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micaela C Case
• Jon D. Casimir, MD
• Cedars, Inc.
• Central Christian College of Kansas (CCCOK Sports Medicine)
• Chennell Family Wellness, LLC
• Chris Goodson Appraisal Services (Jamie's House)
• CK Pharmacies LLC (CK Pharmacy - McPherson LTC)
• CK Pharmacies LLC (CK Pharmacy - McPherson)
• Barbara Claassen, LMSW
• Samuel Dean Claassen, M.D.

• Family Medicine Physician in McPherson, KS
• Providers in McPherson, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.