Organization Active NPI

Bluestem Pace

  • PACE Provider Organization
  • McPherson, KS
National Provider Identifier
1881054005
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
H9438 Issued in KS
Legal business name
BLUESTEM PACE
Practice address
113 S Ash St
McPherson, KS 67460-4801
Phone
(620) 504-5900
Fax
(620) 504-5674
NPI assigned
Mar 1, 2016
Organization subpart
Yes
Parent organization
BLUESTEM COMMUNITIES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Chris Scott
Title
Executive Director
Phone
(620) 504-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X H9438 KS Primary

Addresses

Primary practice location

113 S Ash St
McPherson, KS 67460-4801

Mailing address

3001 Ivy Dr
North Newton, KS 67117-8001
Phone (316) 836-4800

Other identifiers 1

IdentifierTypeStateIssuer
H9438OtherKSPACE PLAN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2108179Bluestem Pace113 South Ash Street, McPherson, KS 67460Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1881054005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 IVY DR",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671178001",
            "telephone_number": "316-836-4800",
            "fax_number": "316-836-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S ASH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604801",
            "telephone_number": "620-504-5900",
            "fax_number": "620-504-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM PACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUESTEM COMMUNITIES INC.",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "620-504-5950"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "KS",
            "license": "H9438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE PLAN",
            "identifier": "H9438",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.