COFFEY COUNTY MEDICAL CENTER
NPI 1760486690
Family Medicine in Burlington, KS
About Coffey County Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COFFEY COUNTY MEDICAL CENTER (NPI 1760486690) is a healthcare organization registered as a family medicine in Burlington, Kansas and active in the NPI registry since June 2005. The organization lists Stacy Nicole Augustyn, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coffey County Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Coffey County Medical Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
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 Coffey County Medical Center's NPI number?
The NPI number for Coffey County Medical Center is 1760486690. It was assigned to this organization in the NPPES registry on June 9, 2005.
Where is Coffey County Medical Center located?
Coffey County Medical Center is located at 309 Sanders St, Burlington, KS 66839. The listed phone number is (620) 364-5395.
What is Coffey County Medical Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Coffey County Medical Center enrolled in Medicare?
Yes. Coffey County Medical Center is registered in the Medicare PECOS enrollment system.
When is Coffey County Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Coffey County Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Coffey County Medical Center. 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 (7), Family Practice (6) and General Surgery (3). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Coffey County Medical Center 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 Coffey County Medical Center 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 Coffey County Medical Center was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Coffey County Medical Center · NPI 1760486690
Family Medicine organization in Burlington, Kansas. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1760486690 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Coffey County Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stacy Augustyn, CEO
## Practice location
- **Address:** 309 SANDERS ST, Burlington, KS 66839-2616
- **Phone:** (620) 364-5395 · **Fax:** (620) 364-8719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Kansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (6), General Surgery (3); 9 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2026
- **Other identifiers:** Medicaid 100098740A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1760486690) · Data from the CMS NPPES public registry.