Active NPI
Bluestem Pace
- PACE Provider Organization
- McPherson, KS
National Provider Identifier
1881054005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- H9438
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H9438 | Other | KS | PACE PLAN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2108179 | Bluestem Pace | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.