Holistic Pain Management of Kansas, LLC
NPI 1679115919ActiveOrganization· Nurse Practitioner, Family· Manhattan, KS
Nurse Practitioner, Family in Manhattan, Kansas, registered in NPPES in October 2019. The authorized official on file is Ryan Shedd, CRNA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679115919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2019 |
| Last updated in NPPES | Oct 20, 2022 |
| Certified by provider | Oct 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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