ELLINWOOD HOSPITAL CLINIC
NPI 1225040256
Clinic/Center - Rural Health in Ellinwood, KS

Active since August 11, 2006CLIA 17D0882658 · Waiver
300 N PARK AVE, ELLINWOOD, KS 67526(620) 564-2548(620) 564-2491 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ellinwood Hospital Clinic NPPES

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

ELLINWOOD HOSPITAL CLINIC (NPI 1225040256) is a healthcare organization registered as a rural health in Ellinwood, Kansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Kile Magner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225040256
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREAT PLAINS OF ELLINWOOD INC.
Location Address300 N PARK AVEEllinwood, KS 67526-1452
Mailing Address300 N Park AveEllinwood, KS 67526-1452 · (620) 564-2548 · Fax (620) 564-2491
Fax(620) 564-2491
Organization SubpartNo
Authorized OfficialKile MagnerChief Executive Officer · (620) 564-2548
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1225040256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
300 N PARK AVE, Ellinwood, KS 67526

Other Names 1

Doing Business AsEllinwood Hospital Clinic

Other Identifiers 5

Medicaid1000410070BKS
Other000964KS · Bcbs 2ndry For Rhc
Other110746KS · Blue Cross
Other110746KS · Medicare Ptan
Other173402KS · Medicare Ptan

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)

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

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Ellinwood Hospital Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Family Practice4
Urology2

Clinicians, nearest first (11)

Family Practice
NPI 1659379113
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952175309
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598936981
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427851963
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831172733
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154144574
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-3771
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306896972
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-3771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053704361
1905 19TH ST
Great Bend, KS 67530
(620) 792-5700
✔ PECOS✔ Accepts Medicare9.5 mi
Urology
NPI 1598817157
218 S SANTA FE AVE
Salina, KS 67401
(785) 827-9635
✔ PECOS✔ Accepts Medicare63 mi
Urology
NPI 1114903424
218 S SANTA FE AVE
Salina, KS 67401
(785) 827-9635
✔ PECOS63 mi
Family Practice
NPI 1962931873
1010 N KANSAS ST
Wichita, KS 67214
(316) 962-3070
✔ PECOS✔ Accepts Medicare83 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

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 17D0882658

Ellinwood Hospital And Clinic · Ellinwood, KS
Active · expires Feb 14, 2028
CLIA Number17D0882658
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorJessica Petz
Laboratory Phone(620) 564-2548
Laboratory LocationEllinwood Hospital And Clinic300 N Park Ave Att Clinic Lab Room, Ellinwood, KS 67526
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Great Plains Of Ellinwood Inc.'s NPI number?

The NPI number for Great Plains Of Ellinwood Inc. is 1225040256. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Ellinwood Hospital Clinic.

Where is Great Plains Of Ellinwood Inc. located?

Great Plains Of Ellinwood Inc. is located at 300 N Park Ave, Ellinwood, KS 67526. The listed phone number is (620) 564-2548.

What is Great Plains Of Ellinwood Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Great Plains Of Ellinwood Inc. enrolled in Medicare?

Yes. Great Plains Of Ellinwood Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Plains Of Ellinwood Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Plains Of Ellinwood Inc.. 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 (5), Family Practice (4) and Urology (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Great Plains Of Ellinwood Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0882658) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Plains Of Ellinwood Inc. 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. and 1 other insurer list Great Plains Of Ellinwood Inc. 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 Great Plains Of Ellinwood Inc. was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.