Halie Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

212 S Main St
Minneola, KS 67865-4547

Phone

(620) 885-4264

NPI assigned

Sep 4, 2025

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minneola District Hospital NBR 2Group PAC ID 1355252545, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minneola District Hospital Hospital, Minneola, KS, CCN 171368

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Medicare reassignment NPD
• Minneola District Hospital NBR 2

  dba Dodge City Family Care Clinic

  • Rural Health Clinic/Center
  • Dodge City, KS
  • NPI 1376625749
  Medicare reassignment NPD
• Minneola District Hospital NBR 2

  dba Family Care Clinic

  • Clinic/Center
  • Dodge City, KS
  • NPI 1447986757
  NPD
• Minneola District Hospital NBR 2

  dba Minneola Community Clinic

  • Rural Health Clinic/Center
  • Minneola, KS
  • NPI 1811086093
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Care Compare affiliation

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1962382556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E FRONT ST",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678658561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678654547",
            "telephone_number": "620-885-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bradford
• Julie Crotts, APRN
• Jan R Granados, PHARMD
• Jennifer Ann Imel, APRN
• JGS Health Services LLC (Minneola Pharmacy II LLC)
• Anthony D Luna, MD
• Minneola District Hospital (Minneola District Hospital Long Term Care Unit)

• Physician Assistant in Minneola, KS
• Providers in Minneola, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.