KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. – General Acute Care Hospital, NPI 1417950650

KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. is a healthcare provider. based in Wichita, Kansas. specializing in General Acute Care Hospital. The organization holds a License No. H087012 (KS). The NPI Number for KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. is 1417950650

Main info

Organization
Name
KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.
NPI
1417950650
Phone
(316) 462-5000
Address
3333 N WEBB RD
Authorized Official
JENNIFER BOYD BALDOCK OFFICER AND AUTHORIZED OFFICIAL
Enumeration Date
23 May 2005
Last Update Date
3 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.

  • Kansas Spine & Specialty Hospital, 3333, North Webb Road, Wichita, Sedgwick County, Kansas, 67226, United States of America

    WICHITA, KS 672268123

    Phone: (316) 462-5000

    Fax: (316) 462-5268

    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: 2003-11-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (777 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20031117000168OHospitalKS2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 67226)

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Reviews

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Frequently asked questions

What unique ID ties claims to KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.?
NPI 1417950650 is assigned to KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. under the national enumeration system.
Is KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. work in?
You can think of KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. as practicing within General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
Where does public data place KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.?
The snapshot lists Wichita, Kansas for KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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