CHARLES II CADDY (RPA-C) – Physician Assistant, NPI 1194702712

CHARLES II CADDY (RPA-C) is a healthcare provider. based in Harper, Kansas. specializing in Physician Assistant. They hold the professional credentials RPA-C. They hold a License No. 1500771 (KS). The NPI Number for CHARLES II CADDY (RPA-C) is 1194702712

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES II CADDY (RPA-C)
NPI
1194702712
Phone
(620) 896-7306
Address
700 W. 13TH
Enumeration Date
23 December 2005
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
62091412002162
Graduation Year
1987 (39 years ago)
PAC ID
9537109129
Group Practice PAC ID
3779571906
Professional Enrollment ID
I20050503000760

Contacts

Secure Messaging
ccaddyphc@pahc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for CHARLES II CADDY (RPA-C)

  • Harper Hospital, 700, West 13th Street, Harper, Harper County, Kansas, 67058, United States

    Harper, KS 670581401

    Phone: (620) 896-7306

    Fax: (620) 896-2084

    Type: Location

  • 485 N KS HWY 2

    ANTHONY, KS 670032526

    Phone: (620) 914-1200

    Fax: (620) 914-1256

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779571906View full group profile
NameSpecialtyState
DR. NIZAR D KIBAR (MD)
Internal MedicineKS
LEAH R GERDES (APRN)
Nurse PractitionerKS
RENEE ELISE PENCE
Nurse PractitionerKS
MADISON JANE KOSTER (PA)
Physician AssistantKS
MRS. WENDY JEAN BOOKER (PT)
-KS
KARLIE L PARKER
Nurse PractitionerKS
MRS. CHANNITY M FARLEY (APRN)
Nurse PractitionerKS
MEGAN RICKE (APRN)
Nurse PractitionerKS
ELIZABETH ERSKINE CAUDILLO (PA)
Physician AssistantKS
LEONARD S WEDMAN (RPA-C)
-KS

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Frequently asked questions

What unique ID ties claims to CHARLES II CADDY (RPA-C)?
NPI 1194702712 is assigned to CHARLES II CADDY (RPA-C) under the national enumeration system.
Is CHARLES II CADDY (RPA-C) active in the national directory?
CHARLES II CADDY (RPA-C)'s public NPI profile is in an active state.
What kind of provider is CHARLES II CADDY (RPA-C)?
The page reflects Physician Assistant for CHARLES II CADDY (RPA-C). Clinical services aligned with this taxonomy classification.
Where does public data place CHARLES II CADDY (RPA-C)?
The snapshot lists Harper, Kansas for CHARLES II CADDY (RPA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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