Individual provider Active NPI

Melissa Stroh, PA-C

  • Physician Assistant
  • Kiowa, KS
National Provider Identifier
1649553777
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01642 Issued in KS
Practice address
1002 S 4TH St
Kiowa, KS 67070-1825
Phone
(620) 825-4131
NPI assigned
Sep 26, 2011
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 15-01642 KS Primary

Addresses

Primary practice location

1002 S 4TH St
Kiowa, KS 67070-1825

Mailing address

1002 S 4TH St
Kiowa, KS 67070-1825
Phone (620) 825-4131

Other practice location 1

220 S 8th St
Kiowa, KS 67070-1631
Phone (620) 825-4131 ext. 1037

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
I20120103000693 KS Practitioner - Physician Assistant 8426224023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiowa District HospitalGroup PAC ID 8325020670, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

1002 S 4TH St
Kiowa, KS 67070-1825
Phone (620) 825-4121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.93 of 100Reported as group
Quality
68.05
Promoting interoperability
100
Improvement activities
20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01642KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Layne M Reusser MD PA Past Accepting new patients

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1649553777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S 4TH ST",
            "city": "KIOWA",
            "state": "KS",
            "postal_code": "670701825",
            "telephone_number": "620-825-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S 4TH ST",
            "city": "KIOWA",
            "state": "KS",
            "postal_code": "670701825",
            "telephone_number": "620-825-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Kiowa",
            "state": "KS",
            "postal_code": "670701631",
            "country_code": "US",
            "telephone_number": "620-825-4131 x1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROH",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiowa, KS

Sources for this page

Verify at the official NPI Registry.