Individual provider Active NPI

Michael B Kinsman, PA-C

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1730156605
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00827 Issued in KS
Practice address
830 SW Mulvane St
Topeka, KS 66606-1654
Phone
(785) 270-8625
Fax
(785) 270-8624
NPI assigned
Mar 1, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 15-00827 KS Primary

Addresses

Primary practice location

830 SW Mulvane St
Topeka, KS 66606-1654

Mailing address

830 SW Mulvane St
Topeka, KS 66606-1654
Phone (785) 270-8625

Other identifiers 3

IdentifierTypeStateIssuer
P00630820OtherKSRR MEDICARE
100414580EMedicaidKS
100414580BMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkinsman40528@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address mkinsman40528@stormontvaildirect.org Direct COTTON-O'NEIL CLINIC REVOCABLE TRUST

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
I20070227000740 KS Practitioner - Physician Assistant 2668478819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288MTMDClinical Psychologist
15-00827KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 8, 2016 Accepting new patients
Hays Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 8, 2016 Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

830 SW Mulvane St
Topeka, KS 66606
Phone (785) 233-1710

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: mkinsman40528@stormontvaildirect.org

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 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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1730156605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061654",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061654",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSMAN",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00630820",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414580E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414580B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkinsman40528@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SVH Secure Messaging",
            "address_1": "830 SW Mulvane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkinsman40528@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "830 SW Mulvane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.