COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
NPI 1285600379
General Acute Care Hospital - Critical Access in Coffeyville, KS

Active since February 27, 2006
1400 W 4TH STREET, COFFEYVILLE, KS 67337(620) 251-1200(620) 252-1562 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2024, Mar 17, 2023, Jul 21, 2020 (3 updates tracked since 2020).

About Coffeyville Regional Medical Center, Inc. NPPES

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

COFFEYVILLE REGIONAL MEDICAL CENTER, INC. (NPI 1285600379) is a healthcare organization registered as a critical access in Coffeyville, Kansas and active in the NPI registry since February 2006. The organization lists Brian Lawrence, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285600379
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCOFFEYVILLE REGIONAL MEDICAL CENTER, INC.
Location Address1400 W 4TH STREETCoffeyville, KS 67337
Mailing Address1400 W 4th StreetCoffeyville, KS 67337-3306 · (620) 251-1200 · Fax (620) 252-1562
Fax(620) 252-1562
Organization SubpartNo
Authorized OfficialBrian LawrenceCeo · (620) 251-1200
Enumeration DateFebruary 27, 2006
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1285600379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License H063002 (KS)
1400 W 4TH STREET, Coffeyville, KS 67337

Other Identifiers 2

Medicaid100107200AKS
Medicaid100695360AOK

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)

Coffeyville Regional Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Coffeyville Regional Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 11

Nurse Practitioner5
Certified Registered Nurse Anesthetist (CRNA)3
Family Practice2
General Surgery2
Internal Medicine2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
Hematology/Oncology1
3 other specialties3

Clinicians, nearest first (20)

Anesthesiology
NPI 1851449573
1400 W 4TH ST
Coffeyville, KS 67337
(620) 251-1200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437463593
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1356342943
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1003295692
1400 W 4TH ST STE 100
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073130084
1400 W 4TH ST STE 100
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1336403567
1400 W 4TH ST
Coffeyville, KS 67337
(620) 252-1639
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639607781
1400 W 4TH ST
Coffeyville, KS 67337
(620) 252-1639
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821615014
1110 W 8TH ST
Coffeyville, KS 67337
(620) 252-1798
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1851041693
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts Medicare2.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205340445
1400 W 4TH ST
Coffeyville, KS 67337
(620) 251-1200
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1275156622
3460 E FRANK PHILLIPS BLVD
Bartlesville, OK 74006
(918) 332-3600
✔ PECOS✔ Accepts Medicare26 mi
Cardiovascular Disease (Cardiology)
NPI 1841253259
3400 SE FRANK PHILLIPS STE 502
Bartlesville, OK 74006
(918) 331-2577
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1689254609
1819 E 19TH ST FL 5
Tulsa, OK 74104
(918) 505-3200
✔ PECOS✔ Accepts Medicare65 mi
Radiation Oncology
NPI 1437148954
12697 E 51ST ST
Tulsa, OK 74146
(918) 505-3200
✔ PECOS✔ Accepts Medicare66 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225646185
6401 PATTERSON PKWY
Arkansas City, KS 67005
(620) 441-5798
✔ PECOS✔ Accepts Medicare78 mi
Orthopedic Surgery
NPI 1265607592
415 FAIRVIEW AVE # 202
Ponca City, OK 74601
(580) 718-4507
✔ PECOS✔ Accepts Medicare82 mi
Hematology/Oncology
NPI 1760433908
609 VIRGINIA AVE
Ponca City, OK 74601
(580) 767-1300
✔ PECOS✔ Accepts Medicare82 mi
Internal Medicine
NPI 1316292105
1010 N KANSAS ST
Wichita, KS 67214
(316) 293-2665
✔ PECOS✔ Accepts Medicare103 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477871242
750 NE 13TH ST SUITE 200
Oklahoma City, OK 73104
(405) 271-5351
✔ PECOS✔ Accepts Medicare149 mi
Internal Medicine
NPI 1730187386
1000 POLE CREEK XING
Sidney, NE 69162
(308) 254-5825
✔ PECOS✔ Accepts Medicare484 mi

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

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 Coffeyville Regional Medical Center, Inc.'s NPI number?

The NPI number for Coffeyville Regional Medical Center, Inc. is 1285600379. It was assigned to this organization in the NPPES registry on February 27, 2006.

Where is Coffeyville Regional Medical Center, Inc. located?

Coffeyville Regional Medical Center, Inc. is located at 1400 W 4th Street, Coffeyville, KS 67337. The listed phone number is (620) 251-1200.

What is Coffeyville Regional Medical Center, Inc.'s specialty?

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

Is Coffeyville Regional Medical Center, Inc. enrolled in Medicare?

Yes. Coffeyville Regional Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coffeyville Regional Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 11 Medicare specialties reassign their Medicare billing to Coffeyville Regional Medical Center, 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), Certified Registered Nurse Anesthetist (CRNA) (3) and Family Practice (2). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coffeyville Regional Medical Center, 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 Coffeyville Regional Medical Center, 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 Coffeyville Regional Medical Center, Inc. was last updated on April 11, 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.