HALLIE R THEOBALD PA
NPI 1992384002
Physician Assistant in Smith Center, KS

Q: What is Hallie Theobald's NPI number?

The NPI number for Hallie Theobald is 1992384002. It was assigned to this individual provider in the NPPES registry on April 6, 2021. The provider is also known as Hallie R Mccall PA.

Q: What is Hallie Theobald's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Hallie Theobald was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment

921 E HIGHWAY 36, SMITH CENTER, KS 66967(785) 282-6845(785) 282-6331 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Jun 3, 2024, Apr 6, 2021 (3 updates tracked since 2021).

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About Hallie R Theobald Pa NPPES

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

HALLIE R THEOBALD PA (NPI 1992384002) is an individual physician assistant in Smith Center, Kansas, licensed in Kansas (15-02462) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Smith County Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992384002

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHALLIE R THEOBALDCredential: PA

Location Address921 E HIGHWAY 36Smith Center, KS 66967-9582

Mailing AddressPo Box 349Smith Center, KS 66967-0349 · (785) 282-6845 · Fax (785) 282-6331

Phone(785) 282-6845

Fax(785) 282-6331

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2021

Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1992384002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 15-02462

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

921 E HIGHWAY 36, Smith Center, KS 66967

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Other Names 1

Former Name (1)Hallie R Mccall Pa

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hallie R Theobald Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103225628

PECOS Enrollment IDI20210602003060

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Smith County Memorial Hospital

Critical Access Hospitals · Smith Center, KS

OwnershipGovernment - Local

CMS Certification Number171377

Location921 E. Highway 36Smith Center, KS 66967 · Smith County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66967 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$57.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT PLAINS OF SMITH CO INC

Surgery