Individual provider Active NPI

Cynthia Gail Brumback, A-GNP-C

  • Gerontology Nurse Practitioner
  • Coffeyville, KS
National Provider Identifier
1942900626
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-81860-041 Issued in KS
Practice address
801 W 8TH St
Coffeyville, KS 67337-4109
Phone
(888) 777-9170
Fax
(620) 231-5062
NPI assigned
Mar 9, 2023
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81860-041 KS
Nurse Practitioner 363L00000X 2023013562 MO
Gerontology Nurse Practitioner 363LG0600X 53-81860-041 KS Primary

Addresses

Primary practice location

801 W 8TH St
Coffeyville, KS 67337-4109

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

3801 S National Ave Ste 900
Springfield, MO 65807-5210
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230414000480 KS Practitioner - Nurse Practitioner 5395110852 Reassigns benefits to 1 organization
I20230414000756 MO Practitioner - Nurse Practitioner 5395110852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Southeast Kansas IncGroup PAC ID 7911816392, shared by 26 NPIs, 111 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

3015 N Michigan St
Pittsburg, KS 66762-2546

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000

801 W 8TH St
Coffeyville, KS 67337-4109
Phone (620) 251-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81860-041KSMDNurse Practitioner
2023013562MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Mar 23, 2026 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Jul 10, 2023 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Jul 10, 2023 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients

Locations

601 E Washington St
Arma, KS 66712
Phone (620) 347-4033

100 N Military Ave
Baxter Springs, KS 66713

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101

124 S Highschool Ave
Columbus, KS 66725

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-8040

312 S Maple St
Garnett, KS 66032
Phone (785) 448-6788

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

203 N Kentucky St
Iola, KS 66749

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 717-4450

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 875-3210

3801 S National Ave
Ste 900
Springfield, MO 65807
Phone (417) 269-2710

Interoperability endpoints

  • Direct secure messaging: cynthia.brumback@chcsek.eclinicaldirectplus.com

Organizations & group practices 9

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 4

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1942900626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374109",
            "telephone_number": "888-777-9170",
            "fax_number": "620-231-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMBACK",
        "first_name": "CYNTHIA",
        "middle_name": "GAIL",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81860-041",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023013562",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-81860-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.