ELIZABETH KELLEY WEGNER-BUSCH (PA-C) – Medical Physician Assistant, NPI 1679728380

ELIZABETH KELLEY WEGNER-BUSCH (PA-C) is a healthcare provider. based in Manhattan, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1501273 (KS). The NPI Number for ELIZABETH KELLEY WEGNER-BUSCH (PA-C) is 1679728380

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH KELLEY WEGNER-BUSCH (PA-C)
NPI
1679728380
Phone
(785) 565-0016
Address
930 Hayes Dr
Enumeration Date
21 November 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
0941496533
Group Practice PAC ID
9335121565
Professional Enrollment ID
I20101122000721
Address ID
KS665037588Ma4101XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for ELIZABETH KELLEY WEGNER-BUSCH (PA-C)

  • 930 Hayes Dr

    Suite B

    Manhattan, KS 665025721

    Phone: (785) 565-0016

    Fax: (785) 565-0003

    Type: Location

  • 4101, Anderson Avenue, Manhattan, Riley County, Kansas, 66503, United States

    MANHATTAN, KS 665037588

    Phone: (785) 587-4101

    Fax: (785) 587-9090

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $921.

Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($312).

Total Amount

$921

General + Research + Ownership

Payments

58

Total payment records

General Amount

$921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2010-11-22

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
I20101122000721IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0442Annual alcohol misuse screening, 5 to 15 minutes239239$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit185185$0
99213Established patient office or other outpatient visit, 20-29 minutes185174$0
G0444Annual depression screening, 5 to 15 minutes183183$0
99214Established patient office or other outpatient visit, 30-39 minutes6160$0
View full utilization report →

Insurance plans in this area (ZIP 66502)

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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: 9335121565View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineKS
-KS
Physician AssistantKS
-KS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH KELLEY WEGNER-BUSCH (PA-C)?
Save NPI 1679728380 if you need a stable reference for ELIZABETH KELLEY WEGNER-BUSCH (PA-C).
Does this profile mean ELIZABETH KELLEY WEGNER-BUSCH (PA-C) is currently active?
Yes — ELIZABETH KELLEY WEGNER-BUSCH (PA-C) appears active in the national provider directory.
Can you summarize ELIZABETH KELLEY WEGNER-BUSCH (PA-C)'s specialty in plain language?
Clinically, the directory lists ELIZABETH KELLEY WEGNER-BUSCH (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH KELLEY WEGNER-BUSCH (PA-C)'s primary listing?
We display Manhattan, Kansas because that is what the record indicates for ELIZABETH KELLEY WEGNER-BUSCH (PA-C).
What if Manhattan, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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