STANTON COUNTY HOSPITAL
NPI 1003964677
General Acute Care Hospital - Critical Access in Johnson, KS

Active since January 08, 2007CLIA Certified · 3 labs
404 N. CHESTNUT ST., JOHNSON, KS 67855(620) 492-6250(620) 492-1447 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stanton County Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANTON COUNTY HOSPITAL (NPI 1003964677) is a healthcare organization registered as a critical access in Johnson, Kansas and active in the NPI registry since January 2007. The organization holds 3 active CLIA laboratory certificates and lists Camille Davidson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003964677
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSTANTON COUNTY HOSPITAL
Location Address404 N. CHESTNUT ST.Johnson, KS 67855-0779
Mailing AddressPo Box 779, 404 N. Chestnut St.Johnson, KS 67855-0779 · (620) 492-6250 · Fax (620) 492-1447
Fax(620) 492-1447
Organization SubpartNo
Authorized OfficialCamille DavidsonCeo · (620) 492-6250
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1003964677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in KS · H094001
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License H094001 (KS)
404 N. CHESTNUT ST., Johnson, KS 67855

Other Identifiers 2

Other016858KS · Bcbs Professional
Other100099050AKS · Medicaid, Professional

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanton County Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Stanton County Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Family Practice2
Clinical Social Worker1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1710521869
404 N. CHESTNUT
Johnson, KS 67850
(620) 492-1400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306133095
404 N CHESTNUT STREET
Johnson, KS 67855
(620) 492-1400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811312994
404 NORTH CHESTNUT STREET
Johnson, KS 67855
(620) 492-1400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972064202
404 N CHESTNUT ST
Johnson City, KS 67855
(620) 492-6250
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366538167
101 E GREENWOOD AVE N
Johnson, KS 67855
(620) 492-6230
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1508425141
200 W ROSS BLVD
Dodge City, KS 67801
(620) 371-7300
✔ PECOS✔ Accepts Medicare96 mi
Family Practice
NPI 1487625596
713 W 11TH ST
Larned, KS 67550
(620) 804-6007
✔ PECOS✔ Accepts Medicare151 mi
Nurse Practitioner
NPI 1427662865
1100 S MARYMOUNT RD
Salina, KS 67401
(785) 414-9422
✔ PECOS✔ Accepts Medicare243 mi
Clinical Social Worker
NPI 1346323227
83 WELLNESS WAY FL 2
Benton, KY 42025
(270) 527-0045
✔ PECOS740 mi
Nurse Practitioner
NPI 1003172719
707 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8470
✔ PECOS✔ Accepts Medicare872 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D1025031

Stanton County Hospital, Ltc, Nursing · Johnson, KS
Active · expires Apr 26, 2028
CLIA Number17D1025031
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorAlyssa Thompson
Laboratory Phone(620) 492-6250
Laboratory LocationStanton County Hospital, Ltc, Nursing404 N Chestnut, Johnson, KS 67855
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D1025032

Stanton County Hospital, Ltcu, And Family Practice · Johnson, KS
Active · expires Apr 26, 2028
CLIA Number17D1025032
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorBrooke A. Fehringer
Laboratory Phone(620) 492-6250
Laboratory LocationStanton County Hospital, Ltcu, And Family Practice404 N Chestnut St, Johnson, KS 67855
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 17D0453224

Stanton County Hospital · Johnson, KS
Active · expires Jun 6, 2027
CLIA Number17D0453224
Laboratory TypeHospital
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorWilliam R. Troup
Laboratory Phone(620) 492-4607
Laboratory LocationStanton County Hospital404 North Chestnut Street, Johnson, KS 67855
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanton County Hospital's NPI number?

The NPI number for Stanton County Hospital is 1003964677. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Stanton County Hospital located?

Stanton County Hospital is located at 404 N. Chestnut St., Johnson, KS 67855. The listed phone number is (620) 492-6250.

What is Stanton County Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Stanton County Hospital enrolled in Medicare?

Yes. Stanton County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stanton County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Stanton County Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (2) and Clinical Social Worker (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stanton County Hospital hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Stanton County Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Stanton County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stanton County Hospital was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.