Individual provider Active NPI

Katy Deanne Price, P.A.

  • Physician Assistant
  • Hutchinson, KS
National Provider Identifier
1740471143
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-0125 Issued in KS
Practice address
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone
(620) 663-7595
Fax
(620) 663-5263
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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 15-0125 KS Primary

Addresses

Primary practice location

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600

Mailing address

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

Other identifiers 1

IdentifierTypeStateIssuer
100098120AMedicaidKS

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
I20071207000413 KS Practitioner - Physician Assistant 0648369066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

1600 N Lorraine St
Suite 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-0125KSMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1740471143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KATY",
        "middle_name": "DEANNE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-0125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098120A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.