Physician Compare National (NPI:1639100159)

HEALTHCARE PROVIDER: KATRINA MARIE HESS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639100159
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395710628
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050614000811
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HESS
	Individual professional last name
Provider First Name	KATRINA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HESS MEDICAL SERVICES, PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173598414
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2201 CANTERBURY DR
	Group Practice or individual's line 1 address
City	HAYS
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	676012341
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7856287495
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HAYS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	171311
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROOKS COUNTY HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	171342
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	RUSH COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y