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FORT SCOTT FAMILY MEDICINE, P.A.
NPI 1467566802
Family Medicine in Fort Scott, KS

Active since August 19, 2006
202 STATE ST, SUITE A, FORT SCOTT, KS 66701(620) 223-3950(620) 223-1302 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fort Scott Family Medicine, P.a. NPPES

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

FORT SCOTT FAMILY MEDICINE, P.A. (NPI 1467566802) is a healthcare organization registered as a family medicine in Fort Scott, Kansas and active in the NPI registry since August 2006. The organization lists Ricky D Kellenberger, President, as its authorized official.

NPPES Registry Identity

NPI1467566802
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORT SCOTT FAMILY MEDICINE, P.A.
Location Address202 STATE ST, SUITE AFort Scott, KS 66701-2031
Mailing Address202 State St, Suite AFort Scott, KS 66701-2031 · (620) 223-3950 · Fax (620) 223-1302
Phone(620) 223-3950
Fax(620) 223-1302
Organization SubpartNo
Authorized OfficialRicky D KellenbergerPresident · (620) 223-3950
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467566802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
202 STATE ST, Fort Scott, KS 66701
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Other Identifiers 2

Other110645KS · Blue Cross Blue Shield
Medicaid2087370801KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Fort Scott Family Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fort Scott Family Medicine, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ryan Lewis
Nurse Practitioner
NPI 1265839690
202 STATE ST STE A
Fort Scott, KS 66701
(417) 321-2845
✔ PECOS✔ Accepts MedicareSame address
Randy Kellenberger, D.O.
Emergency Medicine
NPI 1932186681
800 RAVENHILL DR EMERGENCY DEPARTMENT
Atchison, KS 66002
(913) 360-5320
✔ PECOS119 mi
Ricky Kellenberger, D.O
Family Practice
NPI 1700864568
202 STATE ST SUITE A
Fort Scott, KS 66701
(620) 223-3950
✔ PECOS✔ Accepts Medicare

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 Fort Scott Family Medicine, P.A.'s NPI number?

The NPI number for Fort Scott Family Medicine, P.A. is 1467566802. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Fort Scott Family Medicine, P.A. located?

Fort Scott Family Medicine, P.A. is located at 202 State St Suite A, Fort Scott, KS 66701. The listed phone number is (620) 223-3950.

What is Fort Scott Family Medicine, P.A.'s specialty?

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

Is Fort Scott Family Medicine, P.A. enrolled in Medicare?

Yes. Fort Scott Family Medicine, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Scott Family Medicine, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fort Scott Family Medicine, P.A., in Emergency Medicine, Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Scott Family Medicine, P.A. accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Fort Scott Family Medicine, P.A. 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 Fort Scott Family Medicine, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.