NPIMap

Organization Active NPI

Commonspirit Kansas, Inc.

  • Pediatrics Physician
  • Garden City, KS
National Provider Identifier
1922558279
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COMMONSPIRIT KANSAS, INC.
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 275-3730
Fax
(620) 275-3767
NPI assigned
Oct 11, 2016
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Angela Jo Skinner
Title
Administrator
Phone
(720) 667-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

PO Box 803929
Kansas City, MO 64180-3929
Phone (888) 347-3295

Other identifiers 1

IdentifierTypeStateIssuer
30003913010024MedicaidKS

Other names 4

  • St Catherine Hospital Former legal business name
  • CommonSpirit Pediatrics Siena Other name
  • Pediatrics Siena Other name
  • SCHC PEDIATRICS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302000707 KS Part B Supplier - Clinic/Group Practice 4789595844 Receives reassigned benefits from 87 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cimarron, KS; Ulysses, KS; Liberal, KS; Garden City, KS; Dodge City, KS

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

2051 E Mary St
Garden City, KS 67846
Phone (620) 277-9092

311 E Spruce St
Ste 3B
Garden City, KS 67846
Phone (620) 275-3740

911 N Main St
Garden City, KS 67846
Phone (316) 276-8201

2132 N Kansas Ave
Ste C
Liberal, KS 67901
Phone (620) 765-1255

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

505 N Main St
Ulysses, KS 67880
Phone (316) 356-1261

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1922558279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929",
            "telephone_number": "888-347-3295",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3730",
            "fax_number": "620-275-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSPIRIT KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-667-7283"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913010024",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Catherine Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CommonSpirit Pediatrics Siena",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pediatrics Siena",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SCHC PEDIATRICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.