| Great Plains Of Sabetha, Inc. | |
|
1115 Main St Sabetha KS 66534-1832 | |
| (785) 284-2141 | |
| (785) 284-0022 |
| Full Name | Great Plains Of Sabetha, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1115 Main St, Sabetha, Kansas |
| Authorized Official Name and Position | Garrett Lee Colglazier (CEO) |
| Authorized Official Contact | 7852842121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains Of Sabetha, Inc. P.o. Box 247 Sabetha KS 66534 Ph: (785) 284-2141 | Great Plains Of Sabetha, Inc. 1115 Main St Sabetha KS 66534-1832 Ph: (785) 284-2141 |
| NPI Number | 1568491033 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 10/24/2025 |
| Medicare PECOS PAC ID | 5698676146 |
|---|---|
| Medicare Enrollment ID | O20041215000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568491033 | NPI | - | NPPES |
| 100409570A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Allen Longabaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356311914 PECOS PAC ID: 4587565726 Enrollment ID: I20050113000047 |
| Provider Name | Dean A Heideman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790868677 PECOS PAC ID: 9335140102 Enrollment ID: I20070122000247 |
| Provider Name | Christian R Tramp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336347772 PECOS PAC ID: 7810098373 Enrollment ID: I20070727000289 |
| Provider Name | Tiffany N Engelken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932102381 PECOS PAC ID: 0648303842 Enrollment ID: I20100809000108 |
| Provider Name | Kristopher R Carlson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467676106 PECOS PAC ID: 9830367960 Enrollment ID: I20130809000542 |
| Provider Name | Susan R Lueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396149522 PECOS PAC ID: 7618255647 Enrollment ID: I20161026002313 |
| Provider Name | Levi D Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407752 PECOS PAC ID: 2567729734 Enrollment ID: I20171122002276 |
| Provider Name | Deanna L Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917688 PECOS PAC ID: 6204118466 Enrollment ID: I20180604001890 |
| Provider Name | Natalie K Frye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003345471 PECOS PAC ID: 3577834647 Enrollment ID: I20200810002150 |
| Provider Name | Rachel K Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619400207 PECOS PAC ID: 4385908151 Enrollment ID: I20200914001943 |
| Provider Name | Aaron M Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285054932 PECOS PAC ID: 6103259411 Enrollment ID: I20201006002271 |
| Provider Name | Colin B Lisenby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679922652 PECOS PAC ID: 8628361524 Enrollment ID: I20201008003351 |
| Provider Name | Erica Lea Bletscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275140261 PECOS PAC ID: 4789096926 Enrollment ID: I20201214000236 |
| Provider Name | Kristen J Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336773340 PECOS PAC ID: 5092115873 Enrollment ID: I20210616000613 |
| Provider Name | Adam Ryan Streit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194066233 PECOS PAC ID: 1850667965 Enrollment ID: I20210812001293 |
| Provider Name | Derek A Christensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992327936 PECOS PAC ID: 4880019785 Enrollment ID: I20211007000277 |
| Provider Name | Denis Jimenez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487175063 PECOS PAC ID: 9739453150 Enrollment ID: I20220823003209 |
| Provider Name | Jordan Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866357 PECOS PAC ID: 4688099864 Enrollment ID: I20220907001267 |
| Provider Name | Karl James Haake |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003801747 PECOS PAC ID: 3274506050 Enrollment ID: I20230510000802 |
| Provider Name | Robert A Shemwell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487654810 PECOS PAC ID: 8325125065 Enrollment ID: I20231215002992 |
| Provider Name | Sarah Bangert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881469252 PECOS PAC ID: 0042657645 Enrollment ID: I20240319000751 |
| Provider Name | Robert G Nagely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508430521 PECOS PAC ID: 8921400698 Enrollment ID: I20240926000462 |
Great Plains Of Sabetha, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 Main St, Sabetha, KS 66534 Phone: 785-284-2141 Fax: 785-284-0022 |