Individual provider Active NPI

Andrea Jo Baber, D.C.

  • Chiropractor
  • Scott City, KS
National Provider Identifier
1902295462
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05678 Issued in KS
Practice address
920 S Main St
Scott City, KS 67871-1819
Phone
(620) 872-3004
Fax
(620) 909-5039
NPI assigned
Jan 21, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05678 KS Primary

Addresses

Primary practice location

920 S Main St
Scott City, KS 67871-1819

Mailing address

805 Era St
Scott City, KS 67871-1330
Phone (620) 214-0507

Other names 1

  • Dr. Andrea Jo Scheuerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720002868 KS Practitioner - Chiropractic 9032422019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Kansas Chiropractic LLCGroup PAC ID 0446573059, 2 clinicians

Practice addresses (Care Compare)

920 S Main St
Scott City, KS 67871-1819
Phone (620) 872-3004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05678KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Kansas Chiropractic LLC Chiropractor CurrentSince Jun 22, 2015 Accepting new patients

Locations

920 S Main St
Scott City, KS 67871
Phone (620) 376-8652

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1902295462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ERA ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711330",
            "telephone_number": "620-214-0507",
            "fax_number": "620-909-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711819",
            "telephone_number": "620-872-3004",
            "fax_number": "620-909-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABER",
        "first_name": "ANDREA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SCHEUERMAN",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scott City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.