Individual provider Active NPI

Raven Weiss, MD

  • Family Medicine Physician
  • Ottawa, KS
National Provider Identifier
1639829393
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-51666 Issued in KS
Practice address
901 S Main St
Ottawa, KS 66067-3315
Phone
(785) 242-9889
Fax
(785) 229-8447
NPI assigned
Mar 25, 2022
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-51666 KS Primary

Addresses

Primary practice location

901 S Main St
Ottawa, KS 66067-3315

Mailing address

901 S Main St
Ottawa, KS 66067-3315
Phone (785) 242-9889

Other practice location 1

1301 S Main St
Ottawa, KS 66067-3537
Phone (785) 242-9889

Other practice location 2

424 Main St
Wellsville, KS 66092-8878
Phone (785) 242-9889

Other names 1

  • Raven Brower Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029002326 KS Practitioner - Family Practice 4486034154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Ottawa, KS 66067-3537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-51666KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Adventhealth Ransom Memorial, Inc. Past Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888

Interoperability endpoints

  • Direct secure messaging: raven.weiss@hca2.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1639829393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673315",
            "telephone_number": "785-242-9889",
            "fax_number": "785-229-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673315",
            "telephone_number": "785-242-9889",
            "fax_number": "785-229-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673537",
            "country_code": "US",
            "telephone_number": "785-242-9889",
            "fax_number": "785-229-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Main St",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "KS",
            "postal_code": "660928878",
            "country_code": "US",
            "telephone_number": "785-242-9889",
            "fax_number": "785-229-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "RAVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-51666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVEN",
            "last_name": "BROWER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.