Individual provider Active NPI

Annie Fast, MD

  • Family Medicine Physician
  • Hesston, KS
National Provider Identifier
1760649693
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6930 Issued in KS
Practice address
110 E Smith St
Hesston, KS 67062-8809
Phone
(620) 327-2314
NPI assigned
May 19, 2008
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6930 KS Primary

Addresses

Primary practice location

110 E Smith St
Hesston, KS 67062-8809

Mailing address

110 E Smith St
Hesston, KS 67062-8809
Phone (620) 327-2314

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000506 KS Practitioner - Family Practice 7517137441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Family Care LLCGroup PAC ID 2961493242, 9 clinicians

Practice addresses (Care Compare)

200 E Pack St
Moundridge, KS 67107-8854
Phone (620) 345-6322

PO Box
Suite 640
Moundridge, KS 67107-0640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6930KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Family Care LLC Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Mercy Hospital Inc Past Accepting new patients

Locations

110 E Smith St
Hesston, KS 67062
Phone (620) 327-2314

371 N Old 81 Hwy
Hesston, KS 67062
Phone (620) 327-2314

Interoperability endpoints

  • Direct secure messaging: annie.fast@khindirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1760649693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SMITH ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628809",
            "telephone_number": "620-327-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SMITH ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628809",
            "telephone_number": "620-327-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAST",
        "first_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesston, KS

Sources for this page

Verify at the official NPI Registry.