MICHELLE J PRUESSNER (PA-C) – Physician Assistant, NPI 1336122258

MICHELLE J PRUESSNER (PA-C) is a healthcare provider. based in Hiawatha, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1501045 (KS). The NPI Number for MICHELLE J PRUESSNER (PA-C) is 1336122258

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE J PRUESSNER (PA-C)
NPI
1336122258
Phone
(785) 742-2131
Address
313 Utah St
Enumeration Date
23 November 2005
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133677300
Graduation Year
2005 (21 years ago)
PAC ID
3971538596
Group Practice PAC ID
2466363858
Professional Enrollment ID
I20051003000676
Address ID
KS660875252TR311XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for MICHELLE J PRUESSNER (PA-C)

  • 313 Utah St

    Hiawatha, KS 664342313

    Phone: (785) 742-2131

    Fax: (785) 742-6658

    Type: Location

  • 1903 Euclid Ave

    Horton, KS 664391238

    Phone: (785) 486-2468

    Fax: (785) 486-2371

    Type: Location

  • 1004 Progress Dr Ste 180&145

    Lansing, KS 660436326

    Phone: (913) 297-3215

    Fax: (913) 297-2732

    Type: Location

  • 1004 Progress Dr Ste 150

    Lansing, KS 660436345

    Phone: (913) 297-3215

    Fax: (913) 297-2732

    Type: Location

  • 820 Ravenhill Dr Ste 104

    Atchison, KS 660029230

    Phone: (913) 360-5829

    Fax: (913) 674-2040

    Type: Location

  • 801 Atchison St

    Atchison, KS 660022352

    Phone: (913) 367-5020

    Fax: (913) 367-1089

    Type: Location

  • 810 RAVEN HILL DRIVE

    ATCHISON, KS 66002

    Phone: (913) 367-6678

    Fax: (913) 674-2023

    Type: Location

  • 800 RAVENHILL DR

    ATCHISON, KS 660029204

    Phone: (913) 367-2131

    Fax: (913) 674-2023

    Type: Mailing

  • 800 RAVENHILL DR STE 100&107

    ATCHISON, KS 660029204

    Phone: (913) 367-2131

    Fax: (913) 674-2023

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,190.

Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($307).

Total Amount

$1,190

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051003000676IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 66434)

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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: 2466363858View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIN
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Certified Registered Nurse Anesthetist (Crna)KS
Orthopedic SurgeryKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Internal Medicine, Family PracticeKS

Reviews

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Frequently asked questions

How do payers reference MICHELLE J PRUESSNER (PA-C)?
For MICHELLE J PRUESSNER (PA-C), use NPI 1336122258 as the unique 10-digit identifier.
Is MICHELLE J PRUESSNER (PA-C) still an active registrant?
MICHELLE J PRUESSNER (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with MICHELLE J PRUESSNER (PA-C)?
MICHELLE J PRUESSNER (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHELLE J PRUESSNER (PA-C) associated with Hiawatha?
Public fields place MICHELLE J PRUESSNER (PA-C) around Hiawatha, Kansas. Always confirm the exact site before visiting.
Does MICHELLE J PRUESSNER (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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