KIERAN NICOLE ELDER (PA-C) – Medical Physician Assistant, NPI 1568911246

KIERAN NICOLE ELDER (PA-C) is a healthcare provider. based in Tribune, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KIERAN NICOLE ELDER (PA-C) is 1568911246

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIERAN NICOLE ELDER (PA-C)
NPI
1568911246
Phone
(620) 376-4221
Address
506 3RD ST
Enumeration Date
23 September 2016
Last Update Date
13 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7858524230
Graduation Year
2016 (10 years ago)
PAC ID
3678852662
Group Practice PAC ID
0042233496
Professional Enrollment ID
I20161115001628
Address ID
KS677589707SH504XXEXXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for KIERAN NICOLE ELDER (PA-C)

  • Greeley County Hospital, 506, 3rd Street, Tribune, Greeley County, Kansas, 67879, United States

    TRIBUNE, KS 67879

    Phone: (620) 376-4221

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-15

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
I20161115001628IPhysician 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 67879)

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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: 0042233496View full group profile
NameSpecialtyState
-IL
-KS
Physician AssistantKS
Physician AssistantOK
Internal MedicineMT
General PracticeKS
Physician AssistantKS
Hematology/Oncology, Internal MedicineKS
General Practice, Obstetrics/GynecologyKS
Family PracticeVA

Reviews

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Frequently asked questions

How do payers reference KIERAN NICOLE ELDER (PA-C)?
For KIERAN NICOLE ELDER (PA-C), use NPI 1568911246 as the unique 10-digit identifier.
Is there an active status for KIERAN NICOLE ELDER (PA-C)?
For scheduling context, KIERAN NICOLE ELDER (PA-C) is shown as active in the registry.
What clinical focus is listed for KIERAN NICOLE ELDER (PA-C)?
At a glance, KIERAN NICOLE ELDER (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KIERAN NICOLE ELDER (PA-C) located near Tribune?
KIERAN NICOLE ELDER (PA-C) currently maps to Tribune, Kansas in this extract.
Does KIERAN NICOLE ELDER (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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