Individual provider Active NPI

Kaitlin Robben, APRN-C

  • Nurse Practitioner
  • Hays, KS
National Provider Identifier
1760001036
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
79395 Issued in KS
Practice address
3216 Vine St
Hays, KS 67601-1985
Phone
(785) 261-7065
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 119155 KS
Nurse Practitioner 363L00000X 79395 KS Primary

Addresses

Primary practice location

3216 Vine St
Hays, KS 67601-1985

Mailing address

2507 E 19TH St
Hays, KS 67601-2772

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
I20200520002820 KS Practitioner - Nurse Practitioner 3779914015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119155KSMDRegistered Nurse
79395KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc CurrentSince Jun 7, 2020 Accepting new patients
Hays Medical Center, Inc CurrentSince Jun 7, 2020 Accepting new patients
Pawnee Valley Community Hospital Inc PastSince Apr 19, 2020 Accepting new patients
Hays Medical Center, Inc. PastSince Apr 19, 2020 Accepting new patients

Locations

2214 Canterbury Dr
Ste 204
Hays, KS 67601
Phone (785) 623-2360

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

3216 Vine St
Ste 20
Hays, KS 67601
Phone (785) 261-7065

Organizations & group practices 5

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1760001036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 E 19TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 VINE ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011985",
            "telephone_number": "785-261-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBEN",
        "first_name": "KAITLIN",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "119155",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "79395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.