SOUTHEAST KANSAS MEDICAL ASSOCIATES
NPI 1184736563
Nurse Practitioner in Coffeyville, KS

Q: What is Southeast Kansas Medical Associates's NPI number?

The NPI number for Southeast Kansas Medical Associates is 1184736563. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is Southeast Kansas Medical Associates's specialty?

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

Active since August 31, 2006

1501 W 4TH ST, COFFEYVILLE, KS 67337(620) 251-2400(620) 251-1619 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Southeast Kansas Medical Associates NPPES

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

SOUTHEAST KANSAS MEDICAL ASSOCIATES (NPI 1184736563) is a healthcare organization registered as a nurse practitioner in Coffeyville, Kansas and active in the NPI registry since August 2006. The organization lists Jerome Block, Owner, as its authorized official.

NPPES Registry Identity

NPI1184736563

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHEAST KANSAS MEDICAL ASSOCIATES

Location Address1501 W 4TH STCoffeyville, KS 67337-3307

Mailing Address1501 W 4th StCoffeyville, KS 67337-3307 · (620) 251-2400 · Fax (620) 251-1619

Phone(620) 251-2400

Fax(620) 251-1619

Organization SubpartNo

Authorized OfficialJerome BlockOwner · (620) 251-2400

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1184736563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KS · 44318

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0420630 (KS)

1501 W 4TH ST, Coffeyville, KS 67337

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

COFFEYVILLE ORTHOPAEDICS, PA

Orthopaedic Surgery

1501 W 4TH ST
COFFEYVILLE, KS 67337

Montgomery County (620) 251-3838

TOMORROW'S TECHNOLOGY TODAY

Clinical Medical Laboratory

1501 W 4TH ST
COFFEYVILLE, KS 67337

Montgomery County (620) 251-0580

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 Southeast Kansas Medical Associates's NPI number?

The NPI number for Southeast Kansas Medical Associates is 1184736563. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Southeast Kansas Medical Associates located?

Southeast Kansas Medical Associates is located at 1501 W 4th St, Coffeyville, KS 67337. The listed phone number is (620) 251-2400.

What is Southeast Kansas Medical Associates's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeast Kansas Medical Associates was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.