Organization Active NPI

Ft Scott Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Scott, KS
National Provider Identifier
1982211728
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FT SCOTT SURGERY CENTER LLC
Practice address
918 Highway 69
Fort Scott, KS 66701-8885
Phone
(620) 223-0200
NPI assigned
Sep 25, 2020
Last updated
Dec 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Ms. Nancy J Graves
Title
Accountant
Phone
(816) 729-5602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Ophthalmology Physician 207W00000X

Addresses

Primary practice location

918 Highway 69
Fort Scott, KS 66701-8885

Mailing address

11184 Antioch Rd Ste 356
Overland Park, KS 66210-2420
Phone (913) 787-6724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Srenn@osageplains.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220128001353 KS Part B Supplier - Ambulatory Surgical Center 2769893718 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Scott, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ft Scott Surgery Center LLCCCN 17C0001053
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

918 Highway 69
Fort Scott, KS 66701
Phone (620) 223-0200

11184 Antioch Rd
Overland Park, KS 66210
Phone (816) 374-7567

Interoperability endpoints

  • Direct secure messaging: srenn@osageplains.com

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1982211728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11184 ANTIOCH RD STE 356",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102420",
            "telephone_number": "913-787-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HIGHWAY 69",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018885",
            "telephone_number": "620-223-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT SCOTT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "816-729-5602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Srenn@osageplains.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "916 US 69",
            "city": "Fort Scott",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.