MICHELLE J PRUESSNER (NPI# 1336122258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336122258 |
| Entity Type | Individual |
| Full Name | MICHELLE J PRUESSNER |
| Credential | PA-C |
| Practice Address |
810 Raven Hill Drive Atchison KS 66002 |
| Practice Telephone | 9133676678 |
| Practice Fax Number | 9136742023 |
| Mailing Telephone | 9133672131 |
| Mailing Fax Number | 9136742023 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1501045 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
810 RAVEN HILL DRIVE |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175292 | Wayne O Wallace Jr. | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002-1401 | 2005-06-28 |
| 1184041964 | Adam Zerr | Nurse Practitioner | 810 Raven Hill Drive, Atchison, KS 66002 | 2014-03-18 |
| 1720428246 | Johnathan K Leck | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002 | 2013-06-28 |
| 1346688405 | Bonnie A Tackett | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002 | 2013-06-11 |
| 1538506613 | Brandon Tackett | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002 | 2013-05-29 |
| 1700130499 | Jennifer J Franks | Physician Assistant | 810 Raven Hill Drive, Atchison, KS 66002 | 2012-11-01 |
| 1548437544 | Norma Elizabeth Green | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002 | 2008-05-09 |
| 1982724506 | Benjamin H Stone | Surgery | 810 Raven Hill Drive, Atchison, KS 66002-9204 | 2007-03-29 |
| 1649225509 | Melissa S. Huntington | Physician Assistant | 810 Raven Hill Drive, Atchison, KS 66002 | 2006-05-22 |
| 1942269121 | Ryan M. Thomas | Family Medicine | 810 Raven Hill Drive, Atchison, KS 66002-9204 | 2006-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154348845 | Jeri D. Stephenson | Physician Assistant | 810 Ravenhill Dr, Atchison, KS 66002-9204 | 2006-07-17 |
| 1700882362 | Mary R Schrick | Physician Assistant | 1225 N 2nd St, Atchison, KS 66002-1401 | 2005-06-28 |
| 1770058653 | William Ryan Hoeksema | Physician Assistant | 820 Ravenhill Dr, Atchison, KS 66002-9268 | 2018-10-08 |
| 1073931804 | Lexy Jade Rooney | Physician Assistant | 820 Ravenhill Dr, Atchison, KS 66002-9268 | 2014-03-29 |
| 1700130499 | Jennifer J Franks | Physician Assistant | 810 Raven Hill Drive, Atchison, KS 66002 | 2012-11-01 |
| 1124381538 | Charles Bradley Hirst | Physician Assistant | 800 Raven Hill Drive, Atchison, KS 66002 | 2012-06-20 |
| 1548431703 | Jeffrey P Flasschoen | Physician Assistant | 800 Raven Hill Drive, Atchison, KS 66002 | 2008-03-17 |
| 1659592046 | James L Growney | Physician Assistant | 801 Atchison St, Atchison, KS 66002-2352 | 2007-05-01 |
| 1760412795 | Darlene R Hirst | Physician Assistant | 800 Ravenhill Dr, Atchison, KS 66002-9204 | 2006-07-04 |
| 1649225509 | Melissa S. Huntington | Physician Assistant | 810 Raven Hill Drive, Atchison, KS 66002 | 2006-05-22 |
| Find all providers in ATCHISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.