Individual provider Active NPI

Kala Ilene Hillery, APRN

  • Family Nurse Practitioner
  • Independence, KS
National Provider Identifier
1861730780
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5375823 Issued in KS
Practice address
800 W Laurel St
Independence, KS 67301-3211
Phone
(620) 332-3280
NPI assigned
Jan 28, 2013
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5375823 KS Primary

Addresses

Primary practice location

800 W Laurel St
Independence, KS 67301-3211

Mailing address

800 W Laurel St
Independence, KS 67301-3211
Phone (620) 332-3280

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
I20130316000024 KS Practitioner - Nurse Practitioner 4981849189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LaneGroup PAC ID 1557314358, shared by 3 NPIs, 5 clinicians

Practice addresses (Care Compare)

235 W Vine PO Box
Suite 969
Dighton, KS 67839

235 W Vine St PO Box
Suite 969
Dighton, KS 67839-0969

444 W Long
Dighton, KS 67839
Phone (620) 397-5316

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5375823KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 5, 2021 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 5, 2021 Accepting new patients
County of Lane CurrentSince Jul 1, 2025 Accepting new patients
County of Lane Current Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

444 W Long St
Dighton, KS 67839
Phone (620) 397-2501

1513 W Wyatt Earp Blvd
Dodge City, KS 67801
Phone (620) 682-8304

1021 Fleming St
Garden City, KS 67846
Phone (620) 287-2010

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

Hospital & facility affiliations 1

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1861730780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013211",
            "telephone_number": "620-332-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013211",
            "telephone_number": "620-332-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLERY",
        "first_name": "KALA",
        "middle_name": "ILENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

Verify at the official NPI Registry.