PETER MICK NP-C
NPI 1164074076
Nurse Practitioner in Great Bend, KS

Q: What is Peter Mick's NPI number?

The NPI number for Peter Mick is 1164074076. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Peter Mick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Mick was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment

76.37/100

CMS Quality Rating

514 CLEVELAND ST, GREAT BEND, KS 67530(620) 792-8833 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jul 10, 2019 (2 updates tracked since 2019).

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About Peter Mick Np-c NPPES

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

PETER MICK NP-C (NPI 1164074076) is an individual nurse practitioner in Great Bend, Kansas, licensed in Kansas (53-78864-062) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Ks Hlth System Great Bend Campus, and maintains a secondary practice location in Great Bend.

NPPES Registry Identity

NPI1164074076

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePETER MICKCredential: NP-C

Location Address514 CLEVELAND STGreat Bend, KS 67530-3562

Mailing Address514 Cleveland StGreat Bend, KS 67530-3562

Phone(620) 792-8833

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 10, 2019

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1164074076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KS · 53-78864-062

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

514 CLEVELAND ST, Great Bend, KS 67530

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Secondary Practice Location 1

Location 11005 Williams StGreat Bend, KS 67530-4443 · Phone (620) 285-1915 · Fax (620) 269-6095

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Mick Np-c 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 ID8921433442

PECOS Enrollment IDI20200110000503

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.

Medicare Billing Reassignments

Medicare enrollment records show Peter Mick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ukhs Great Bend, LLC

Same address

Multi-Specialty

514 CLEVELAND ST
Great Bend, KS 67530

Reassigned Medicare billing, Kansas enrollment
76 clinicians in this Medicare group

NPI 1962997197 (620) 792-8833

Pawnee Valley Community Hospital, Inc.

21 mi

Specialist

923 CARROLL AVE
Larned, KS 67550

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1568401206 (Kansas)
23 clinicians in this Medicare group

NPI 1467569442 (620) 285-3161

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

179 services167 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

176 services155 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

96 services93 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170191

Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67530 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

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

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.

76.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.84

Promoting Interoperability

100

Improvement Activities

Cost

64.41

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.

GREAT BEND REGIONAL HOSPITAL, LLC

Emergency Medicine

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-8833

VEERAYYAGARI ANNAPURNA MD

Obstetrics & Gynecology

514 CLEVELAND ST, MEDICAL PAVILION
GREAT BEND, KS 67530

Barton County (620) 792-2151

KIRSTYN BROOKE LATHAM

Registered Nurse

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-8833

ROXANNE N MCGINN MD

Surgery

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 282-8823

PREMIER OB-GYN LLC

Obstetrics & Gynecology

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-2151

HANNAH LINENBERGER NP-C

Nurse Practitioner (Family)

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-8833

UKHS GREAT BEND, LLC

Clinic/Center (Rural Health)

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-8833

DR. GLENDA K HOLZMAN M.D.

Radiology (Diagnostic Radiology)

514 CLEVELAND ST
GREAT BEND, KS 67530

Barton County (620) 792-8833

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 Peter Mick's NPI number?

The NPI number for Peter Mick is 1164074076. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Peter Mick located?

Peter Mick practices at 514 Cleveland St, Great Bend, KS 67530. The listed phone number is (620) 792-8833.

What is Peter Mick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Peter Mick enrolled in Medicare?

Yes. Peter Mick 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.

Which organizations bill Medicare for Peter Mick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Mick reassigns Medicare benefits to 2 organizations: Ukhs Great Bend, LLC (Great Bend, KS) and Pawnee Valley Community Hospital, Inc. (Larned, KS). Each 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 Peter Mick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Mick accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Peter Mick 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 Peter Mick affiliated with any hospitals?

According to CMS data, Peter Mick is affiliated with University Of Ks Hlth System Great Bend Campus.

When was this NPI record last updated?

The NPPES record for Peter Mick was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.