Individual provider Active NPI

Paul Casper, PA

  • Physician Assistant
  • Pratt, KS
National Provider Identifier
1669840286
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01829 Issued in KS
Practice address
200 Commodore St
Pratt, KS 67124-2903
Phone
(620) 450-1148
Fax
(620) 450-1741
NPI assigned
Sep 14, 2015
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 091585 IA
Physician Assistant 363A00000X 15-01829 KS Primary

Addresses

Primary practice location

200 Commodore St
Pratt, KS 67124-2903

Mailing address

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1148

Other practice location 1

1030 N 7th St
Chariton, IA 50049
Phone (641) 217-9115

Other practice location 2

1030 N 7th St
Chariton, IA 50049
Phone (641) 217-9115

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
I20151118000991 KS Practitioner - Physician Assistant 3577863885 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

619 S Clark Ave
Lyons, KS 67554-3003
Phone (620) 257-5173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
82.73
Promoting interoperability
100
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
091585IAMDPhysician Assistant
15-01829KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Regional Medical Center Corporation Single Specialty Current Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince Mar 30, 2024 Accepting new patients
Hospital District No 1 of Rice Co CurrentSince Dec 22, 2025 Accepting new patients
Hospital District No 1 of Rice Co Single Specialty CurrentSince Dec 22, 2025 Accepting new patients
Satanta District Hospital and Long-Term Care Past Accepting new patients
Medical Center, P.a. Past Accepting new patients

Locations

1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

Organizations & group practices 6

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 2

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1669840286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMODORE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242903",
            "telephone_number": "620-450-1148",
            "fax_number": "620-450-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMODORE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242903",
            "telephone_number": "620-450-1148",
            "fax_number": "620-450-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chariton",
            "state": "IA",
            "postal_code": "50049",
            "country_code": "US",
            "telephone_number": "641-217-9115",
            "fax_number": "641-217-9137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chariton",
            "state": "IA",
            "postal_code": "50049",
            "country_code": "US",
            "telephone_number": "641-217-9115",
            "fax_number": "641-217-9137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASPER",
        "first_name": "PAUL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "091585",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.