Individual provider Active NPI

Elizabeth Erskine Caudillo, PA

  • Physician Assistant
  • Conway Springs, KS
National Provider Identifier
1710271556
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501443 Issued in KS
Practice address
111 E Spring Ave
Conway Springs, KS 67031-3101
Phone
(620) 456-2411
Fax
(620) 456-2495
NPI assigned
Jun 8, 2011
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1501443 KS Primary
Physician Assistant 363A00000X 1931 OK

Addresses

Primary practice location

111 E Spring Ave
Conway Springs, KS 67031-3101

Mailing address

485 N KS Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecaudillophc@pahc.cernerdirect.com Direct

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
I20111105000056 KS Practitioner - Physician Assistant 4284807355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 N 5TH Ave
Anthony Community Care Ctr
Anthony, KS 67003-2106
Phone (620) 842-5187

485 N KS Hwy 2
Anthony, KS 67003-2526

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501443KSMDPhysician Assistant
1931OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly K Hanigar Current Accepting new patients
Hospital District No 6 of Harper County Kansas CurrentSince May 1, 2025 Accepting new patients
Hospital District No 6 of Harper County Kansas Past Accepting new patients

Locations

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

Interoperability endpoints

  • Direct secure messaging: ecaudillophc@pahc.cernerdirect.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 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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1710271556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N KS HWY 2",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032526",
            "telephone_number": "620-914-1200",
            "fax_number": "620-914-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E SPRING AVE",
            "city": "CONWAY SPRINGS",
            "state": "KS",
            "postal_code": "670313101",
            "telephone_number": "620-456-2411",
            "fax_number": "620-456-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "ELIZABETH",
        "middle_name": "ERSKINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501443",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecaudillophc@pahc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Patterson Health Center direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "111 E Spring Ave",
            "city": "Conway Springs",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670313101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway Springs, KS

Sources for this page

Verify at the official NPI Registry.