Individual provider Active NPI

Andrea K Babb, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1871601914
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01006 Issued in KS
Practice address
201 S Hillside St
Wichita, KS 67211-2128
Phone
(316) 682-6551
Fax
(316) 682-8151
NPI assigned
Aug 28, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01006 KS Primary

Addresses

Primary practice location

201 S Hillside St
Wichita, KS 67211-2128

Mailing address

201 S Hillside St
Wichita, KS 67211-2128
Phone (316) 682-6551

Other names 1

  • Andrea K. Miller Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cliftonfamilymedicine@protonmail.com

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
I20040520001060 KS Practitioner - Physician Assistant 8729079553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Family Medicine LLCGroup PAC ID 4385837293, 5 clinicians

Practice addresses (Care Compare)

201 S Hillside
Wichita, KS 67211-2128

201 S Hillside St
Wichita, KS 67211-2128
Phone (316) 682-6551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Family Practice, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrea.babb@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 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1871601914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112128",
            "telephone_number": "316-682-6551",
            "fax_number": "316-682-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112128",
            "telephone_number": "316-682-6551",
            "fax_number": "316-682-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABB",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cliftonfamilymedicine@protonmail.com",
            "affiliation": "N",
            "address_1": "201 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672112128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MILLER",
            "middle_name": "K.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.