Rebekah J Manahan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

KS0855 Issued in KS

Practice address

220 N Pennsylvania Ave
Columbus, KS 66725-1110

Phone

(620) 429-2545

NPI assigned

Jul 14, 2006

Last updated

Apr 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beckiemanahan@neosho.cernerdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
• Direct secure messaging: rebekah.manahan@khindirect.org

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.

• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Medicare reassignment NPD
• Neosho Memorial Regional Medical Center

  dba NMRMC ER Group

  • General Acute Care Hospital
  • Chanute, KS
  • NPI 1053442772
  Medicare reassignment NPD (past)
• Neosho Memorial Regional Medical Center

  dba NMRMC Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211
  NPD
• Nmrmc Urology Clinic

  • Urology Physician
  • Chanute, KS
  • NPI 1760346316
  NPD
• Neosho Memorial Regional Medical Center

  dba NMRMC Women's Health Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1851317952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 2200TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481592",
            "telephone_number": "620-431-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PENNSYLVANIA AVE",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "667251110",
            "telephone_number": "620-429-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "REBEKAH",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "KS0855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100447010C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beckiemanahan@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667201928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Michelle Jarrett, APRN
• Jay Hatfield Mobility, LLC
• Jayhatfield Mobility, LLC
• Kansas Medical Supply, Inc.
• Julie J Leblanc, LSCSW
• Diana K. Marshall, P.A.
• Megan Mason
• Evan P McNemar, RPH
• McPherson Medical & Diagnostic LLC (American Medical Missouri)
• McPherson Medical & Diagnostic LLC (Americal Medical Missouri)

• Medical Physician Assistant in Columbus, KS
• Providers in Columbus, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.