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COFFEYVILLE REGIONAL MEDICAL CENTER, INC
NPI 1407147903
Family Medicine in Coffeyville, KS

Active since May 02, 2011
1400 W 4TH ST, COFFEYVILLE, KS 67337(620) 688-6566(620) 688-6577 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2023, May 18, 2020, Sep 21, 2016 (3 updates tracked since 2016).

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 1407147903) is a healthcare organization registered as a family medicine in Coffeyville, Kansas and active in the NPI registry since May 2011. The organization lists Brian Lawrence, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407147903
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOFFEYVILLE REGIONAL MEDICAL CENTER, INC
Location Address1400 W 4TH STCoffeyville, KS 67337-3306
Mailing AddressPo Box 505262Saint Louis, MO 63150-5262 · (620) 688-6566 · Fax (620) 688-6577
Phone(620) 688-6566
Fax(620) 688-6577
Organization SubpartYes
Authorized OfficialBrian LawrenceCeo · (620) 251-1200
Enumeration DateMay 2, 2011
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1407147903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X
1400 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Coffeyville Regional Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner9
Certified Registered Nurse Anesthetist (CRNA)6
Family Practice2
General Surgery2
Internal Medicine2
Radiation Oncology2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
5 other specialties5

Nearest to this location (20)

See all 30
Baba Abudu, MD
Anesthesiology
NPI 1851449573
1400 W 4TH ST
Coffeyville, KS 67337
(620) 251-1200
✔ PECOS✔ Accepts MedicareSame address
Shravan Gangula, M.D
Family Practice
NPI 1437463593
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Perry Lin, MD
Obstetrics/Gynecology
NPI 1356342943
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Brittany Love, M.D.
General Surgery
NPI 1003295692
1400 W 4TH ST STE 100
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Barbara Mccartney, APRN
Nurse Practitioner
NPI 1073130084
1400 W 4TH ST STE 100
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts MedicareSame address
Michelle Mcguirk, MD
General Surgery
NPI 1336403567
1400 W 4TH ST
Coffeyville, KS 67337
(620) 252-1639
✔ PECOS✔ Accepts MedicareSame address
Heather Pollet, APRN
Nurse Practitioner
NPI 1639607781
1400 W 4TH ST
Coffeyville, KS 67337
(620) 252-1639
✔ PECOS✔ Accepts MedicareSame address
Bridget Wright, FNP
Nurse Practitioner
NPI 1902403801
1400 W 4TH ST
Coffeyville, KS 67337
(620) 251-1200
✔ PECOS✔ Accepts MedicareSame address
Morgan Baxter, DNP
Nurse Practitioner
NPI 1821615014
1110 W 8TH ST
Coffeyville, KS 67337
(620) 252-1798
✔ PECOS✔ Accepts Medicare0.5 mi
James Christensen, D.O.
General Practice
NPI 1447238688
209 W 7TH ST
Coffeyville, KS 67337
(620) 251-1100
✔ PECOS✔ Accepts Medicare1.2 mi
Garrett Koehn, MD
Family Practice
NPI 1851041693
1400 W 4TH ST
Coffeyville, KS 67337
(620) 688-6566
✔ PECOS✔ Accepts Medicare2.4 mi
Julia Moses, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205340445
1400 W 4TH ST
Coffeyville, KS 67337
(620) 251-1200
✔ PECOS✔ Accepts Medicare2.5 mi
Kathryn Cornell, A.P.R.N.
Nurse Practitioner
NPI 1588030134
122 W MYRTLE ST
Independence, KS 67301
(620) 577-4062
✔ PECOS13 mi
Amber Lopez, APRN
Nurse Practitioner
NPI 1275156622
3460 E FRANK PHILLIPS BLVD
Bartlesville, OK 74006
(918) 332-3600
✔ PECOS✔ Accepts Medicare26 mi
Allison Littleford
Nurse Practitioner
NPI 1982229266
3460 E FRANK PHILLIPS BLVD
Bartlesville, OK 74006
(918) 332-3600
✔ PECOS✔ Accepts Medicare26 mi
William Tinker, M.D.
Cardiovascular Disease (Cardiology)
NPI 1841253259
3400 SE FRANK PHILLIPS STE 502
Bartlesville, OK 74006
(918) 331-2577
✔ PECOS✔ Accepts Medicare26 mi
Gregg Rickabaugh, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629048343
629 S PLUMMER
Chanute, KS 66720
(620) 431-4000
✔ PECOS✔ Accepts Medicare45 mi
Nathan Uy, M.D.
Radiation Oncology
NPI 1437148954
12697 E 51ST ST
Tulsa, OK 74146
(918) 505-3200
✔ PECOS✔ Accepts Medicare66 mi
Sunil Menon, MD, MPH
Orthopedic Surgery
NPI 1265607592
415 FAIRVIEW AVE # 202
Ponca City, OK 74601
(580) 718-4507
✔ PECOS✔ Accepts Medicare82 mi
Akinola Ogundipe, M.D.
Hematology/Oncology
NPI 1760433908
609 VIRGINIA AVE
Ponca City, OK 74601
(580) 767-1300
✔ PECOS✔ Accepts Medicare82 mi
See all 30 clinicians

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 1407147903. It was assigned to this organization in the NPPES registry on May 2, 2011.

Where is Coffeyville Regional Medical Center, Inc located?

Coffeyville Regional Medical Center, Inc is located at 1400 W 4th St, Coffeyville, KS 67337. The listed phone number is (620) 688-6566.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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), 30 clinicians in 13 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 (9), Certified Registered Nurse Anesthetist (CRNA) (6) and Family Practice (2). Of these, 8 practice at this address and 12 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. 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 March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.