Shelly L Gruenbacher, MD

Key facts

NPI

1811941347

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

28950 (KS)

Practice address

501 Garfield St
Quinter, KS 67752-9795

Phone

(785) 754-3333

Fax

(785) 754-2335

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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.

• Gove County Medical Center Anesthesiology Physician · Quinter, KS · NPI 1760566947
  Medicare reassignment Care Compare group NPD KS
• Gove County Medical Center Critical Access Hospital · Quinter, KS · NPI 1932192465
  Medicare reassignment Care Compare group NPD KS
• Gove County Medical Center Medicare Defined Swing Bed Hospital Unit · Quinter, KS · NPI 1295771608
  Care Compare group
• Gove County Medical Center Nursing Facility/Intermediate Care Facility · Quinter, KS · NPI 1396780557
  NPD (past)
• Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Logan Critical Access Hospital · Oakley, KS · NPI 1821087230
  Care Compare affiliation Hospital
• Gove County Medical Center Medicare Defined Swing Bed Hospital Unit · Quinter, KS · NPI 1295771608
  Care Compare affiliation Nursing home
• Gove County Medical Center Critical Access Hospital · Quinter, KS · NPI 1932192465
  Care Compare affiliation Hospital
• Hays Medical Center Inc General Acute Care Hospital · Hays, KS · NPI 1881697043
  Care Compare affiliation Hospital
• Sheridan County Hospital Critical Access Hospital · Hoxie, KS · NPI 1184635229
  Care Compare affiliation Hospital
• Trego County Lemke Memorial Hospital Critical Access Hospital · Wakeeney, KS · NPI 1922001015
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gove County Medical Center (6 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gove County Medical Center Hospital · Quinter, KS · CCN 171367
• Sheridan County Hospital Hospital · Hoxie, KS · CCN 171347
• Hays Medical Center Hospital · Hays, KS · CCN 170013
• Logan County Hospital Hospital · Oakley, KS · CCN 171326
• Trego County Lemke Memorial Hospital Hospital · Wakeeney, KS · CCN 171355
• Gove County Medical Center Nursing home · CCN 17Z367

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: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shelly.gruenbacher@khindirect.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2011.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1811941347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GARFIELD ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677529795",
            "telephone_number": "785-754-3333",
            "fax_number": "785-754-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GARFIELD ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677529795",
            "telephone_number": "785-754-3333",
            "fax_number": "785-754-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENBACHER",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "28950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "080188021",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420250A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102121",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinter, KS

• Gove County Medical Center
• Gove County Medical Center
• Gove County Medical Center
• Gove County Medical Equipment & Supplies
• Douglas J Gruenbacher, MD
• Haysmed Partners - Gove County Inc
• Haysmed Partners - Gove County Inc
• Haysmed Partners - Gove County Inc
• Jaime Elizabeth Kinderknecht, LCPC
• Travis L Kinderknecht, O.D.

All providers in Quinter, KS · Family Medicine Physician in Kansas