PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Medicare Clinicians for NPI 1356683213
General Practice in Shawnee, KS

Active since March 19, 2013
16663 MIDLAND DR STE 100, SHAWNEE, KS 66217(913) 631-2600(913) 631-2606 Get Directions

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Prime Healthcare Physician Services - Providence Inc in Shawnee, KS bills Medicare for 127 clinicians across 22 Medicare specialties. The largest specialties are Nurse Practitioner with 54, Family Practice with 15 and Internal Medicine with 14. Of these, 62 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

127Clinicians
22Medicare specialties
127PECOS enrolled
97Accept Medicare
127 clinicians in 22 specialties

Nurse Practitioner (54)

Nurse Practitioner
NPI 1386169126
7230 RENNER RD
Shawnee, KS 66217
(913) 962-2122
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1760315626
7230 RENNER RD
Shawnee, KS 66217
(913) 962-2122
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1033695002
7230 RENNER RD
Shawnee, KS 66217
(913) 962-2122
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1023600780
1391 E 120TH ST
Olathe, KS 66061
(816) 288-3083
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1891440608
1420 S 42ND ST
Kansas City, KS 66106
(913) 831-1100
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1720435878
1420 S 42ND ST
Kansas City, KS 66106
(913) 831-1100
✔ PECOS7.6 mi
Nurse Practitioner
NPI 1679666077
913 SHEIDLEY AVE
Bonner Springs, KS 66012
(913) 322-7222
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1689441669
5100 W 110TH ST STE 120
Overland Park, KS 66211
(913) 234-7600
✔ PECOS8.6 mi
Nurse Practitioner
NPI 1407213846
4801 COLLEGE BLVD
Leawood, KS 66211
(913) 721-3387
✔ PECOS8.8 mi
Nurse Practitioner
NPI 1104577931
4801 COLLEGE BLVD
Leawood, KS 66211
(913) 721-3387
✔ PECOS8.8 mi
Nurse Practitioner
NPI 1063183168
4550 W 109TH ST STE 200
Overland Park, KS 66211
(913) 721-3387
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1740603935
8919 PARALLEL PKWY STE 580
Kansas City, KS 66112
(913) 596-7224
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1700310877
8919 PARALLEL PKWY STE 555
Kansas City, KS 66112
(913) 596-3940
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1528303039
8919 PARALLEL PKWY STE 270
Kansas City, KS 66112
(913) 334-6800
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1831556323
8919 PARALLEL PKWY STE 580
Kansas City, KS 66112
(913) 596-7224
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1821841040
8919 PARALLEL PKWY STE 555
Kansas City, KS 66112
(913) 596-3940
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1942944319
8929 PARALLEL PKWY STE 121
Kansas City, KS 66112
(913) 596-7230
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1740712223
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4168
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1831746973
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4687
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1063802585
8101 PARALLEL PKWY STE 100
Kansas City, KS 66112
(913) 299-9200
✔ PECOS9.1 mi
Nurse Practitioner
NPI 1376163089
2040 HUTTON RD
Kansas City, KS 66109
(913) 299-3700
✔ PECOS9.7 mi
Nurse Practitioner
NPI 1457953705
20375 W 151ST ST STE 463
Olathe, KS 66061
(913) 588-1227
✔ PECOS10 mi
Nurse Practitioner
NPI 1336634294
1000 CARONDELET DR
Kansas City, MO 64114
(816) 548-2600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1710577259
930 CARONDELET DR STE 200
Kansas City, MO 64114
(816) 943-5690
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1750047395
4321 WASHINGTON ST STE 3000
Kansas City, MO 64111
(816) 932-3100
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1437504743
4401 WORNALL RD
Kansas City, MO 64111
(816) 932-0340
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1891412938
3705 N 112TH ST
Kansas City, KS 66109
(913) 378-6240
✔ PECOS11 mi
Nurse Practitioner
NPI 1720921612
16586 S SUNSET ST
Olathe, KS 66062
(913) 406-4530
✔ PECOS12 mi
Nurse Practitioner
NPI 1740876150
15604 PINEHURST DR STE 2
Basehor, KS 66007
(913) 728-2200
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1790226744
15604 PINEHURST DR STE 3
Basehor, KS 66007
(913) 342-8665
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1891363636
1403 GRAND BLVD
Kansas City, MO 64106
(913) 588-1227
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1417353343
2790 CLAY EDWARDS DR STE 1235
North Kansas City, MO 64116
(816) 472-5157
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1588174502
2790 CLAY EDWARDS DR STE 1250
North Kansas City, MO 64116
(816) 421-3700
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1851862270
4820 N OAK TRFY
Kansas City, MO 64118
(816) 853-8657
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1063709640
712 1ST TER STE 218
Lansing, KS 66043
(816) 944-6828
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1356065494
4179 STERLING AVE
Kansas City, MO 64133
(816) 780-2870
✔ PECOS18 mi
Nurse Practitioner
NPI 1265190185
16208 GILMAN RD
Leavenworth, KS 66048
(913) 702-5777
✔ PECOS19 mi
Nurse Practitioner
NPI 1568808061
8765 N AMBASSADOR DR
Kansas City, MO 64154
(913) 297-7472
✔ PECOS19 mi
Nurse Practitioner
NPI 1891552758
17053 S OUTER RD. 1ST FLOOR
Belton, MO 64012
(816) 974-5050
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1497724553
757 W EISENHOWER RD
Lansing, KS 66043
(913) 534-8336
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1235763608
3550 S 4TH ST STE 110
Leavenworth, KS 66048
(913) 680-6200
✔ PECOS21 mi
Nurse Practitioner
NPI 1962174896
3500 S 4TH ST
Leavenworth, KS 66048
(913) 680-6000
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1265914576
3550 S 4TH ST STE 110
Leavenworth, KS 66048
(913) 680-6200
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1487218913
390 LIMIT ST
Leavenworth, KS 66048
(913) 651-2323
✔ PECOS21 mi
Nurse Practitioner
NPI 1316507205
2024 SHAWNEE ST
Leavenworth, KS 66048
(913) 683-8445
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1265289003
325 MAINE ST
Lawrence, KS 66044
(785) 505-5775
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1326793480
601 S JEFFERSON ST
Kearney, MO 64060
(816) 741-5576
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1982977245
711 GENN DR
Wamego, KS 66547
(785) 456-6288
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1326535618
650 HUEBNER RD
Fort Riley, KS 66442
(785) 239-7667
✔ PECOS108 mi
Nurse Practitioner
NPI 1073511523
1600 N MISSOURI AVE
Marceline, MO 64658
(660) 376-2038
✔ PECOS111 mi
Nurse Practitioner
NPI 1558737874
100 S 4TH ST STE 550
Saint Louis, MO 63102
(866) 849-0692
✔ PECOS249 mi
Nurse Practitioner
NPI 1437500972
3883 74TH AVE NE
Fort Totten, ND 58335
(701) 766-1600
✔ PECOS✔ Accepts Medicare655 mi
Nurse Practitioner
NPI 1821767450
1200 E MARSHALL ST
Richmond, VA 23298
(804) 828-4104
✔ PECOS✔ Accepts Medicare947 mi
Nurse Practitioner
NPI 1649240938
10280 N 91ST AVE
Peoria, AZ 85345
(602) 842-9880
✔ PECOS✔ Accepts Medicare1,043 mi

Family Practice (15)

Family Practice
NPI 1891051751
135 OAK ST
Bonner Springs, KS 66012
(913) 298-0754
✔ PECOS6.9 mi
Family Practice
NPI 1770559494
1420 S 42ND ST
Kansas City, KS 66106
(913) 831-1100
✔ PECOS✔ Accepts Medicare7.6 mi
Family Practice
NPI 1922793926
1420 S 42ND ST
Kansas City, KS 66106
(913) 831-1100
✔ PECOS7.6 mi
Family Practice
NPI 1669554176
913 SHEIDLEY AVE
Bonner Springs, KS 66012
(913) 322-7222
✔ PECOS✔ Accepts Medicare7.6 mi
Family Practice
NPI 1891777447
8940 STATE AVE
Kansas City, KS 66112
(913) 596-1313
✔ PECOS✔ Accepts Medicare8.3 mi
Family Practice
NPI 1326466012
8940 STATE AVE
Kansas City, KS 66112
(913) 596-1313
✔ PECOS✔ Accepts Medicare8.3 mi
Family Practice
NPI 1720245442
8919 PARALLEL PKWY STE 121
Kansas City, KS 66112
(913) 596-7230
✔ PECOS✔ Accepts Medicare9.0 mi
Family Practice
NPI 1043370489
8101 PARALLEL PKWY STE 100
Kansas City, KS 66112
(913) 299-9200
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1376603712
8101 PARALLEL PKWY STE 100
Kansas City, KS 66112
(913) 299-9200
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1063572493
8101 PARALLEL PKWY STE 100
Kansas City, KS 66112
(913) 299-9200
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1366593915
15604 PINEHURST DR STE 2
Basehor, KS 66007
(913) 728-2200
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1912019274
3550 S 4TH ST STE 200
Leavenworth, KS 66048
(913) 680-6442
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1508759606
3550 S 4TH ST STE 200
Leavenworth, KS 66048
(913) 772-6046
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1376862763
201 NW R D MIZE RD
Blue Springs, MO 64014
(816) 943-5713
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1992969661
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts Medicare101 mi

Internal Medicine (14)

Internal Medicine
NPI 1184734816
5675 ROE BLVD STE 100
Roeland Park, KS 66205
(913) 432-2080
✔ PECOS✔ Accepts Medicare7.7 mi
Internal Medicine
NPI 1346660248
8940 STATE AVE
Kansas City, KS 66112
(913) 596-1313
✔ PECOS✔ Accepts Medicare8.3 mi
Internal Medicine
NPI 1205198967
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4168
✔ PECOS✔ Accepts Medicare8.9 mi
Internal Medicine
NPI 1669035531
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4687
✔ PECOS✔ Accepts Medicare8.9 mi
Internal Medicine
NPI 1447710546
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 600-4908
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1710117296
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-5089
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1891130936
8929 PARALLEL PKWY
Kansas City, KS 66112
(702) 501-5860
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1972820090
1000 CARONDELET DR
Kansas City, MO 64114
(816) 943-2839
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1639300536
1000 CARONDELET DR
Kansas City, MO 64114
(816) 943-4758
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1104170273
1004 CARONDELET DR STE 300
Kansas City, MO 64114
(816) 943-4700
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1164497525
19550 E 39TH ST S SUITE 400
Independence, MO 64057
(816) 254-4800
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1164486254
201 NW R D MIZE RD STE 206
Blue Springs, MO 64014
(816) 655-5403
✔ PECOS✔ Accepts Medicare34 mi
Internal Medicine
NPI 1508187378
1650 COCHRANE CIR # B7500
Fort Carson, CO 80913
(999) 999-9999
✔ PECOS✔ Accepts Medicare540 mi
Internal Medicine
NPI 1316251010
1447 N HARRISON ST
Saginaw, MI 48602
(989) 583-4220
✔ PECOS✔ Accepts Medicare641 mi

General Surgery (6)

General Surgery
NPI 1548642291
4801 COLLEGE BLVD
Overland Park, KS 66211
(816) 478-4200
✔ PECOS✔ Accepts Medicare8.8 mi
General Surgery
NPI 1497780159
8919 PARALLEL PKWY STE 270
Kansas City, KS 66112
(913) 334-6800
✔ PECOS9.0 mi
General Surgery
NPI 1518924653
8919 PARALLEL PKWY STE 270
Kansas City, KS 66112
(913) 334-6800
✔ PECOS9.0 mi
General Surgery
NPI 1982274114
8919 PARALLEL PKWY STE 270
Kansas City, KS 66112
(913) 334-6800
✔ PECOS9.0 mi
General Surgery
NPI 1063707438
3550 S 4TH ST STE 115
Leavenworth, KS 66048
(913) 334-6800
✔ PECOS✔ Accepts Medicare21 mi
General Surgery
NPI 1003252453
400 W 8TH ST
Beloit, KS 67420
(785) 738-2266
✔ PECOS✔ Accepts Medicare182 mi

Hospitalist (6)

Hospitalist
NPI 1780178541
9100 W 74TH ST
Shawnee Mission, KS 66204
(913) 676-2000
✔ PECOS✔ Accepts Medicare4.7 mi
Hospitalist
NPI 1386380517
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4000
✔ PECOS✔ Accepts Medicare9.0 mi
Hospitalist
NPI 1336321488
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4687
✔ PECOS✔ Accepts Medicare9.0 mi
Hospitalist
NPI 1992760292
2700 CLAY EDWARDS DR SUITE 240
North Kansas City, MO 64116
(816) 455-0681
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1144437310
2100 NW BARRY RD
Kansas City, MO 64154
(816) 521-6610
✔ PECOS✔ Accepts Medicare20 mi
Hospitalist
NPI 1225139470
3550 S 4TH ST STE 200
Leavenworth, KS 66048
(913) 680-6442
✔ PECOS21 mi

Orthopedic Surgery (5)

Orthopedic Surgery
NPI 1306139282
4550 W 109TH ST STE 200
Overland Park, KS 66211
(913) 721-3387
✔ PECOS✔ Accepts Medicare8.8 mi
Orthopedic Surgery
NPI 1881188290
8919 PARALLEL PKWY STE 555
Kansas City, KS 66112
(913) 596-3940
✔ PECOS✔ Accepts Medicare9.0 mi
Orthopedic Surgery
NPI 1518910157
8919 PARALLEL PKWY STE 555
Kansas City, KS 66112
(913) 596-3940
✔ PECOS9.0 mi
Orthopedic Surgery
NPI 1881076198
6301 N LUCERNE AVE
Kansas City, MO 64151
(816) 525-2840
✔ PECOS✔ Accepts Medicare16 mi
Orthopedic Surgery
NPI 1295398014
2861 NE INDEPENDENCE AVE STE 201
Lees Summit, MO 64064
(660) 281-8118
✔ PECOS✔ Accepts Medicare23 mi

Certified Registered Nurse Anesthetist (CRNA) (3)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1437108750
10500 QUIVIRA RD
Overland Park, KS 66215
(816) 763-5446
✔ PECOS✔ Accepts Medicare5.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326140070
435 S 4TH AVE
Brighton, CO 80601
(720) 823-0123
✔ PECOS541 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922534056
903 S ADAMS ST
Ritzville, WA 99169
(509) 659-1200
✔ PECOS1,313 mi

Pulmonary Disease (3)

Pulmonary Disease
NPI 1164889028
1004 CARONDELET DR STE 300
Kansas City, MO 64114
(816) 942-4500
✔ PECOS✔ Accepts Medicare10 mi
Pulmonary Disease
NPI 1760608798
1004 CARONDELET DR STE 300
Kansas City, MO 64114
(816) 942-4500
✔ PECOS✔ Accepts Medicare10 mi
Pulmonary Disease
NPI 1881199271
1004 CARONDELET DR STE 300
Kansas City, MO 64114
(816) 942-4500
✔ PECOS✔ Accepts Medicare10 mi

Cardiovascular Disease (Cardiology) (2)

Cardiovascular Disease (Cardiology)
NPI 1013973288
8919 PARALLEL PKWY SUITE 580
Kansas City, KS 66112
(913) 596-7224
✔ PECOS✔ Accepts Medicare9.0 mi
Cardiovascular Disease (Cardiology)
NPI 1871580738
1300 E CENTENNIAL DR
Pittsburg, KS 66762
(620) 232-5705
✔ PECOS✔ Accepts Medicare112 mi

Emergency Medicine (2)

Emergency Medicine
NPI 1891226031
8929 PARALLEL PKWY
Kansas City, KS 66112
(913) 596-4000
✔ PECOS✔ Accepts Medicare8.9 mi
Emergency Medicine
NPI 1053310938
930 CARONDELET DR STE 200
Kansas City, MO 64114
(816) 943-5690
✔ PECOS✔ Accepts Medicare10 mi

Gastroenterology (2)

Gastroenterology
NPI 1427007764
7230 RENNER RD
Shawnee, KS 66217
(913) 631-2600
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1689767535
7230 RENNER RD
Shawnee, KS 66217
(913) 962-2122
✔ PECOS✔ Accepts Medicare0.1 mi

Hematology/Oncology (2)

Hematology/Oncology
NPI 1467427740
3550 S 4TH ST STE 282
Leavenworth, KS 66048
(913) 596-5010
✔ PECOS✔ Accepts Medicare21 mi
Hematology/Oncology
NPI 1629495502
2529 GLENN HENDREN DR STE G30
Liberty, MO 64068
(816) 251-5600
✔ PECOS✔ Accepts Medicare27 mi

Interventional Cardiology (2)

Interventional Cardiology
NPI 1740236710
8919 PARALLEL PKWY STE 580
Kansas City, KS 66112
(913) 596-7224
✔ PECOS✔ Accepts Medicare9.0 mi
Interventional Cardiology
NPI 1497941546
1130 W 4TH ST STE 2050
Lawrence, KS 66044
(785) 505-3636
✔ PECOS✔ Accepts Medicare25 mi

Neurology (2)

Neurology
NPI 1063426369
8919 PARALLEL PKWY SUITE 440
Kansas City, KS 66112
(913) 596-7286
✔ PECOS✔ Accepts Medicare9.0 mi
Neurology
NPI 1497986525
8919 PARALLEL PKWY STE 440
Kansas City, KS 66112
(913) 596-7286
✔ PECOS✔ Accepts Medicare9.0 mi

Obstetrics/Gynecology (2)

Obstetrics/Gynecology
NPI 1447391941
8919 PARALLEL PKWY STE 455
Kansas City, KS 66112
(913) 596-4629
✔ PECOS✔ Accepts Medicare9.0 mi
Obstetrics/Gynecology
NPI 1609902790
8919 PARALLEL PKWY STE 455
Kansas City, KS 66112
(913) 596-4929
✔ PECOS✔ Accepts Medicare9.0 mi

Cardiac Surgery (1)

Cardiac Surgery
NPI 1992871123
1000 CARONDELET DR STE 201B
Kansas City, MO 64114
(816) 943-7600
✔ PECOS✔ Accepts Medicare10 mi

Certified Nurse Midwife (CNM) (1)

Certified Nurse Midwife (CNM)
NPI 1730503582
8919 PARALLEL PKWY STE 455
Kansas City, KS 66112
(913) 596-4929
✔ PECOS9.0 mi

Hospice/Palliative Care (1)

Hospice/Palliative Care
NPI 1508846080
9001 STATE LINE RD # 300
Kansas City, MO 64114
(816) 363-2600
✔ PECOS✔ Accepts Medicare9.5 mi

Nephrology (1)

Nephrology
NPI 1144414244
1000 CARONDELET DR
Kansas City, MO 64114
(816) 943-4758
✔ PECOS✔ Accepts Medicare10 mi

Pain Management (1)

Pain Management
NPI 1346319316
8919 PARALLEL PKWY SUITE 416
Kansas City, KS 66112
(913) 596-5104
✔ PECOS✔ Accepts Medicare9.0 mi

Podiatry (1)

Podiatry
NPI 1821522962
8919 PARALLEL PKWY STE 555
Kansas City, KS 66112
(913) 596-3940
✔ PECOS✔ Accepts Medicare9.0 mi

Sports Medicine (1)

Sports Medicine
NPI 1558654392
4940B W. 137TH ST.
Leawood, KS 66224
(913) 232-9846
✔ PECOS✔ Accepts Medicare11 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Prime Healthcare Physician Services - Providence Inc appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.