Individual provider Active NPI

Michelle Claassen, PA

  • Physician Assistant
  • Moundridge, KS
National Provider Identifier
1639529944
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
200 E Pack St
Moundridge, KS 67107-8854
Phone
(620) 345-6322
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

200 E Pack St
Moundridge, KS 67107-8854

Mailing address

200 E Pack St
Moundridge, KS 67107-8854
Phone (620) 345-6322

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
I20160929000888 KS Practitioner - Physician Assistant 3577850882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Family Care LLCGroup PAC ID 2961493242, 9 clinicians

Practice addresses (Care Compare)

200 E Pack St
Moundridge, KS 67107-8854
Phone (620) 345-6322

PO Box
Suite 640
Moundridge, KS 67107-0640

Hospital & facility affiliations

  • Mercy Hospital, Inc Hospital, Moundridge, KS, CCN 170780
  • NMC Health Hospital, Newton, KS, CCN 170103
  • McPherson Hospital Hospital, McPherson, KS, CCN 170105

National Provider Directory

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

Organizations & group practices 2

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 3

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1639529944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PACK ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078854",
            "telephone_number": "620-345-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PACK ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078854",
            "telephone_number": "620-345-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundridge, KS

Sources for this page

Verify at the official NPI Registry.