Bailey Rae Renner
Individual provider Active NPI Physician Assistant · Oakley, KS
NPI 1750011540 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1750011540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-02705 (KS)
- Practice address
- 211 Cherry Ave
Oakley, KS 67748-1218 - Phone
- (785) 672-3211
- Fax
- (785) 672-8184
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norton County Hospital
Practice addresses (Care Compare)
102 E Holme St
Norton, KS 67654-1406
807 N State St
Norton, KS 67654-1403
Phone (785) 877-3305
PO Box
Suite 408
Norton, KS 67654-0408
Hospital & facility affiliations
- Norton County Hospital
- Hays Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230406000768 | KS | Practitioner - Physician Assistant | 9638544521 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton County Hospital | Current |
Accepting new patients | |
| Norton County Hospital | Current |
Accepting new patients |
Locations
807 N State St
Norton, KS 67654
Phone (785) 877-3305
102 E Holme St
Norton, KS 67654
Phone (785) 628-3231
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 15-02705 | KS | Yes |
Addresses
Primary practice location
211 Cherry Ave
Oakley, KS 67748-1218
Mailing address
211 Cherry Ave
Oakley, KS 67748-1218
Phone (785) 672-3211
Other providers in Oakley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.