Crna-professional Common Pay | |
1110 Columbine Dr Holton KS 66436-8824 | |
(785) 634-2116 | |
(785) 364-9620 |
Full Name | Crna-professional Common Pay |
---|---|
Speciality | Clinic/Center |
Location | 1110 Columbine Dr, Holton, Kansas |
Authorized Official Name and Position | Carrie L Saia (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7853642116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Crna-professional Common Pay 1110 Columbine Dr Holton KS 66436-8824 Ph: (785) 634-2116 | Crna-professional Common Pay 1110 Columbine Dr Holton KS 66436-8824 Ph: (785) 634-2116 |
NPI Number | 1235238296 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 11/06/2023 |
Medicare PECOS PAC ID | 7810807690 |
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Medicare Enrollment ID | O20031111000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235238296 | NPI | - | NPPES |
30003955540001 | Medicaid | KS | |
100244350R | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
282NC0060X | General Acute Care Hospital - Critical Access | H-043-001 (Kansas) | Secondary |
Provider Name | Michael K Engelken |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972602514 PECOS PAC ID: 3577464809 Enrollment ID: I20040324000048 |
Provider Name | Joel R Hutchins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730154543 PECOS PAC ID: 6608830310 Enrollment ID: I20041112000767 |
Provider Name | Clint M Colberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558337287 PECOS PAC ID: 9133156581 Enrollment ID: I20050718000907 |
Provider Name | John A Thesing |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649240862 PECOS PAC ID: 3779539929 Enrollment ID: I20060120000528 |
Provider Name | Jason M Werth |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821051616 PECOS PAC ID: 5799799821 Enrollment ID: I20060127000634 |
Provider Name | Lee R Schnee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881617033 PECOS PAC ID: 9436153632 Enrollment ID: I20070815000135 |
Provider Name | Bridgett Hout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790979185 PECOS PAC ID: 9234227695 Enrollment ID: I20071119000218 |
Provider Name | Jamie L Stuke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588853493 PECOS PAC ID: 9032298021 Enrollment ID: I20080501000531 |
Provider Name | David Price Demint |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1437108750 PECOS PAC ID: 6103809348 Enrollment ID: I20080513000773 |
Provider Name | Gary L Petry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073605085 PECOS PAC ID: 4789744095 Enrollment ID: I20081117000490 |
Provider Name | Malia Sm Warner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346280872 PECOS PAC ID: 5991857443 Enrollment ID: I20090715000296 |
Provider Name | Ladona M Schmidt |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710943634 PECOS PAC ID: 6002725157 Enrollment ID: I20100329000136 |
Provider Name | Tiffany Nicole Engelken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932102381 PECOS PAC ID: 0648303842 Enrollment ID: I20100809000108 |
Provider Name | Megan E Freise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336498294 PECOS PAC ID: 6901059682 Enrollment ID: I20130104000517 |
Provider Name | Jill S Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336487412 PECOS PAC ID: 6608012802 Enrollment ID: I20130412000494 |
Provider Name | Dallas W Dooley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316384332 PECOS PAC ID: 4789819228 Enrollment ID: I20131108001101 |
Provider Name | Lisa M Dinkel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518371160 PECOS PAC ID: 4284854027 Enrollment ID: I20140930001352 |
Provider Name | Ashley Taylor Reinecke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487053930 PECOS PAC ID: 2365765575 Enrollment ID: I20141219000370 |
Provider Name | Erin L Schwartz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639571169 PECOS PAC ID: 3375866130 Enrollment ID: I20141231000223 |
Provider Name | Katie R Tonniges |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720470388 PECOS PAC ID: 6901839570 Enrollment ID: I20160819002146 |
Provider Name | Erin R Locke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114362050 PECOS PAC ID: 6305169822 Enrollment ID: I20170713002425 |
Provider Name | Kaylie D Zimmerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790207207 PECOS PAC ID: 5395004485 Enrollment ID: I20180118000155 |
Provider Name | Heather R Aranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275040131 PECOS PAC ID: 5395005524 Enrollment ID: I20180208002432 |
Provider Name | Deanna L Goff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669917688 PECOS PAC ID: 6204118466 Enrollment ID: I20180604001890 |
Provider Name | Merica N Surdez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043668338 PECOS PAC ID: 7719230580 Enrollment ID: I20181024000892 |
Provider Name | Jennifer Warren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821659061 PECOS PAC ID: 9234464025 Enrollment ID: I20190716003324 |
Provider Name | Steven W Kitchen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952384588 PECOS PAC ID: 0749192938 Enrollment ID: I20190730002278 |
Provider Name | Susan Blythe Young |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467430496 PECOS PAC ID: 6103897228 Enrollment ID: I20200828001820 |
Provider Name | Aaron M Brown |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285054932 PECOS PAC ID: 6103259411 Enrollment ID: I20201006002271 |
Provider Name | Kristen J Manning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336773340 PECOS PAC ID: 5092115873 Enrollment ID: I20210616000613 |
Provider Name | Janae D Nilges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295327302 PECOS PAC ID: 2668873068 Enrollment ID: I20210623000781 |
Provider Name | Gary Cornette |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639149271 PECOS PAC ID: 8628029956 Enrollment ID: I20211122000570 |
Provider Name | Andrea R Allison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245994987 PECOS PAC ID: 0446640098 Enrollment ID: I20211214001442 |
Provider Name | Ryan M Carr |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1700033917 PECOS PAC ID: 1557589710 Enrollment ID: I20220505002183 |
Provider Name | Denis Jimenez |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487175063 PECOS PAC ID: 9739453150 Enrollment ID: I20220823003209 |
Provider Name | Amanda L Rempe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104433507 PECOS PAC ID: 2567848435 Enrollment ID: I20220929001735 |
Provider Name | Jason D Poston |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841635380 PECOS PAC ID: 6002057692 Enrollment ID: I20221019000730 |
Provider Name | Christina Renee Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104401702 PECOS PAC ID: 3577616390 Enrollment ID: I20221024000124 |
Provider Name | Jessica Nguyen Winn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023270170 PECOS PAC ID: 9436386356 Enrollment ID: I20221107001848 |
Provider Name | Chandra Lynn Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245451012 PECOS PAC ID: 9133214257 Enrollment ID: I20230517003233 |
Provider Name | Marija K Lawless |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083242630 PECOS PAC ID: 7911329446 Enrollment ID: I20230921003118 |
Provider Name | Robert A Shemwell |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487654810 PECOS PAC ID: 8325125065 Enrollment ID: I20231215002992 |
Holton Family Medicine - Johnsonville Plant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 E 4th St, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2126 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr Ste 100, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2801 | |
Rainbow Hill Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 W 7th St, Holton, KS 66436 Phone: 785-364-4445 Fax: 785-364-4934 | |
Holton Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468 |