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MRS. ANDREA PAUL PA
NPI 1144486531
Physician Assistant in Hays, KS

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
81.76/100
CMS Quality Rating
2214 CANTERBURY DR, STE 202, HAYS, KS 67601(785) 623-2312(785) 623-2323 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Andrea Paul Pa NPPES

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

MRS. ANDREA PAUL PA (NPI 1144486531) is an individual physician assistant in Hays, Kansas, licensed in Kansas (T-02175) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1144486531
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ANDREA PAULCredential: PA
Location Address2214 CANTERBURY DR, STE 202Hays, KS 67601-2386
Mailing Address2214 Canterbury Dr, Ste 202Hays, KS 67601-2386 · (785) 623-2312 · Fax (785) 623-2323
Phone(785) 623-2312
Fax(785) 623-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 5, 2008
✔ NPI 1144486531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · T-02175
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2214 CANTERBURY DR, Hays, KS 67601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Andrea Paul Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385711910
PECOS Enrollment IDI20080924000422
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
456 services252 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
375 services220 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
279 services197 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
34 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Rooks County Health Center

Critical Access Hospitals · Plainville, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171311
Location1210 North WashingtonPlainville, KS 67663 · Rooks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40
Cost52.04

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers42 claims95 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims15 services$1.06 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,620 services$1.71 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims108 services$1.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$26.24 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$39.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY O DAVIS LSCSW
Social Worker (Clinical)
2214 CANTERBURY DR, STE 300
HAYS, KS 67601
Ellis County (785) 623-5160
TARA ROA PA
Physician Assistant
2214 CANTERBURY DR, SUITE 202
HAYS, KS 67601
Ellis County (785) 623-2312
HAYS MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
2214 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 650-2789
HAYS MEDICAL CENTER, INC.
Internal Medicine
2214 CANTERBURY DR, SUITE 202
HAYS, KS 67601
Ellis County (785) 623-2312
DR. EDGARDO GAMBOA MD
Psychiatry & Neurology (Neurology)
2214 CANTERBURY DR, SUITE 314
HAYS, KS 67601
Ellis County (785) 623-2326
HAYS MEDICAL CENTER, INC
Durable Medical Equipment & Medical Supplies
2214 CANTERBURY DR, SUITE 308
HAYS, KS 67601
Ellis County (785) 628-6014
MARY JO GUBITOSO ARNP
Nurse Practitioner
2214 CANTERBURY DR, SUITE 302
HAYS, KS 67601
Ellis County (785) 623-4699
NICHOLE GANOUNG PA
Physician Assistant
2214 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 261-7452

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 Andrea Paul's NPI number?

The NPI number for Andrea Paul is 1144486531. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Andrea Paul located?

Andrea Paul practices at 2214 Canterbury Dr Ste 202, Hays, KS 67601. The listed phone number is (785) 623-2312.

What is Andrea Paul's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Paul enrolled in Medicare?

Yes. Andrea Paul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Paul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Andrea Paul 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.

Is Andrea Paul affiliated with any hospitals?

According to CMS data, Andrea Paul is affiliated with Hays Medical Center and Rooks County Health Center.

When was this NPI record last updated?

The NPPES record for Andrea Paul was last updated on August 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.