Shawnee Mission Medical Center, Inc. - Medicare Primary Care in Shawnee, KS

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Shawnee Mission Medical Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Shawnee, Kansas. The current practice location for Shawnee Mission Medical Center, Inc. is 11245 Shawnee Mission Parkway, Shawnee, Kansas. For appointments, you can reach them via phone at (913) 268-4455. The mailing address for Shawnee Mission Medical Center, Inc. is 11245 Shawnee Mission Parkway, Shawnee, Kansas and phone number is (913) 268-4455.

Shawnee Mission Medical Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942317854. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (913) 268-4455.

Contact Information

Shawnee Mission Medical Center, Inc.
11245 Shawnee Mission Parkway
Shawnee
KS 66203-3333
(913) 268-4455
(913) 268-4493

Map and Direction


Primary Care Clinic Profile

Full NameShawnee Mission Medical Center, Inc.
SpecialityClinic/Center
Location11245 Shawnee Mission Parkway, Shawnee, Kansas
Authorized Official Name and PositionKarsten G Randolph (EXEC VP & CFO)
Authorized Official Contact9136762152
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shawnee Mission Medical Center, Inc.
11245 Shawnee Mission Parkway
Shawnee
KS 66203-3333

Ph: (913) 268-4455		Shawnee Mission Medical Center, Inc.
11245 Shawnee Mission Parkway
Shawnee
KS 66203-3333

Ph: (913) 268-4455

NPI Details:

NPI Number1942317854
Provider Enumeration Date08/24/2006
Last Update Date11/18/2019

Medicare PECOS Information:

Medicare PECOS PAC ID1153239298
Medicare Enrollment IDO20170209000848

Medical Identifiers

Medical identifiers for Shawnee Mission Medical Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942317854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shawnee Mission Medical Center, Inc. acts as a billing entity for following providers:
Provider NameDel G Rey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649224718
PECOS PAC ID: 5799711313
Enrollment ID: I20050714000287
Provider NameMary K Foos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295827822
PECOS PAC ID: 1254378771
Enrollment ID: I20051029000067
Provider NameWilliam J Hendricks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184668279
PECOS PAC ID: 9739157256
Enrollment ID: I20051101000177
Provider NameHenry F Arst
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841292497
PECOS PAC ID: 0547211005
Enrollment ID: I20051101001222
Provider NameEloisa R Sarol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649275157
PECOS PAC ID: 2163446337
Enrollment ID: I20060116000354
Provider NameSandra M Archer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255325973
PECOS PAC ID: 1355386707
Enrollment ID: I20070815000392
Provider NamePaula E Vogt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144319930
PECOS PAC ID: 9739258088
Enrollment ID: I20080513000528
Provider NameNiorn Keonin Nicholas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952438228
PECOS PAC ID: 0749359594
Enrollment ID: I20080520000133
Provider NameJill M Ackerman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386616621
PECOS PAC ID: 6901864248
Enrollment ID: I20080910000427
Provider NameMatthew R Almaguer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023153855
PECOS PAC ID: 4082780358
Enrollment ID: I20080910000476
Provider NameChad A Winters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710942891
PECOS PAC ID: 6305912569
Enrollment ID: I20080911000662
Provider NamePaula E Ritter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346456977
PECOS PAC ID: 6305894544
Enrollment ID: I20081028000597
Provider NameM Therese Sellers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730373309
PECOS PAC ID: 0941369276
Enrollment ID: I20081031000356
Provider NameAmy M Gordon Ames
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326091950
PECOS PAC ID: 8224181516
Enrollment ID: I20090804000524
Provider NameLisa Marie Madsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003808320
PECOS PAC ID: 5597835223
Enrollment ID: I20100121000701
Provider NameDawn M Peterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982635454
PECOS PAC ID: 7618010646
Enrollment ID: I20100129000639
Provider NameVan T Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013963255
PECOS PAC ID: 1254474877
Enrollment ID: I20100204000682
Provider NameMatthew S Buss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902998594
PECOS PAC ID: 8325085152
Enrollment ID: I20100422000497
Provider NameGregory P Odonnell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891734224
PECOS PAC ID: 0244212769
Enrollment ID: I20100422000546
Provider NameTravis J Keller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356394985
PECOS PAC ID: 0749319960
Enrollment ID: I20100527000006
Provider NameAnthony Joseph Healy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245452705
PECOS PAC ID: 2264598176
Enrollment ID: I20100830000608
Provider NameDaniel C Reeves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821080094
PECOS PAC ID: 3274522362
Enrollment ID: I20110901000422
Provider NameKatherine L Mcelderry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225330111
PECOS PAC ID: 0941489686
Enrollment ID: I20110912000185
Provider NameTheresa M Turk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366605024
PECOS PAC ID: 1254593825
Enrollment ID: I20120426000272
Provider NameVictoria A Raynor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851632582
PECOS PAC ID: 6709020126
Enrollment ID: I20130925000116
Provider NameCarol J Sabath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366881195
PECOS PAC ID: 4385878131
Enrollment ID: I20131009001733
Provider NameErin A Mcgonigle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457615635
PECOS PAC ID: 1052552312
Enrollment ID: I20150730011608
Provider NameSarah Moran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003127085
PECOS PAC ID: 4789820911
Enrollment ID: I20150903000698
Provider NameDenette D Vonada-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770976482
PECOS PAC ID: 0941514772
Enrollment ID: I20160202001928
Provider NameShannon E Stigall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649636911
PECOS PAC ID: 4082918172
Enrollment ID: I20160210001768
Provider NameValerie Annette Bellario
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104223551
PECOS PAC ID: 6709104367
Enrollment ID: I20160502000633
Provider NameJacquelyn L Allen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134308745
PECOS PAC ID: 1153446992
Enrollment ID: I20160614000798
Provider NameDennis M Jensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336192442
PECOS PAC ID: 1759294515
Enrollment ID: I20170628000278
Provider NameSuzanne Elizabeth Ozbun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104113125
PECOS PAC ID: 8921226895
Enrollment ID: I20170823002574
Provider NameMeredith M Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295246015
PECOS PAC ID: 1951668672
Enrollment ID: I20171204003128
Provider NameKathryn K Murray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326249269
PECOS PAC ID: 3971679937
Enrollment ID: I20180806002499
Provider NameMaria A Whitcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063950616
PECOS PAC ID: 3375801475
Enrollment ID: I20181228001189
Provider NameMolly J Omohundro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366956963
PECOS PAC ID: 4981964608
Enrollment ID: I20190221001034
Provider NameJennifer Kamrass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083217038
PECOS PAC ID: 4688086382
Enrollment ID: I20201222003054
Provider NameLeslee M Brady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154990109
PECOS PAC ID: 3678961158
Enrollment ID: I20211103000175
Provider NameTimothy W Hendrix
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851405401
PECOS PAC ID: 4789708587
Enrollment ID: I20211105002197
Provider NameSylvia M Gillis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740876150
PECOS PAC ID: 9234520305
Enrollment ID: I20211228000717
Provider NameValerie Kim Tanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417174947
PECOS PAC ID: 6204921059
Enrollment ID: I20220207000318
Provider NameKristina D Cockerill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255001558
PECOS PAC ID: 9537553276
Enrollment ID: I20220223002036
Provider NameKatie L Shouppe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841710670
PECOS PAC ID: 0749550630
Enrollment ID: I20220331000312
Provider NameGabriel Bayi Ekortarh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922478890
PECOS PAC ID: 3476853250
Enrollment ID: I20220331001804
Provider NameJewell Robinson Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275988289
PECOS PAC ID: 6103104161
Enrollment ID: I20220331001894
Provider NameSavita S Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902436991
PECOS PAC ID: 4587092366
Enrollment ID: I20220504000420
Provider NameKerri Al Quinones Lumsden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871125278
PECOS PAC ID: 2769812106
Enrollment ID: I20220504000496
Provider NameKatherine P Leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366965519
PECOS PAC ID: 5890060354
Enrollment ID: I20220504000525
Provider NameKerry Sander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588947147
PECOS PAC ID: 8729213145
Enrollment ID: I20220610000337
Provider NameDeborah L Messier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487001210
PECOS PAC ID: 4688952823
Enrollment ID: I20220912002796
Provider NameMichelle R Grove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396478426
PECOS PAC ID: 0941679914
Enrollment ID: I20221214000477
Provider NameSeble Getahun Tafesse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942996327
PECOS PAC ID: 7911365572
Enrollment ID: I20230614002495
Provider NameJessica L Engle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437912466
PECOS PAC ID: 7416395892
Enrollment ID: I20240404000469
Provider NameLindsey L Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962994046
PECOS PAC ID: 0547514333
Enrollment ID: I20240514000231
Provider NameJamie R Ashcraft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770131351
PECOS PAC ID: 7719312602
Enrollment ID: I20240514001229
Provider NameJesus John Navarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780269928
PECOS PAC ID: 3577948330
Enrollment ID: I20240514002168
Provider NameTracy Shibla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881132249
PECOS PAC ID: 1658641105
Enrollment ID: I20240522002577
Provider NameBrianna R Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952031106
PECOS PAC ID: 4183168586
Enrollment ID: I20240626002847
Provider NameJennifer Gayle Navarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255054847
PECOS PAC ID: 4284010109
Enrollment ID: I20240828001642
Provider NameShea Barr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487367785
PECOS PAC ID: 7012388499
Enrollment ID: I20240911002893
Provider NameShinumol Sabu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518425131
PECOS PAC ID: 8628301280
Enrollment ID: I20241230000724

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.