Piper Hower , APRN
Nurse Practitioner โข Topeka, KS
4505 Nw Fielding Rd
Topeka, KS 666182651
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 12, 2013; this date does not establish years in practice.
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Published CMS data list 989 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 361 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 179 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 122 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,266 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 202 prescription fills, including refills.
- Gabapentin โ 173 prescription fills, including refills.
- Amlodipine Besylate โ 127 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 81 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 177 clinicians with data). Median for this group: 693. Middle half: 234 to 1,313.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Kansas (2024, 694 clinicians with data). Median for this group: 356. Middle half: 107 to 944.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 686 in 2020 to 989 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
4505 Nw Fielding Rd
Topeka, KS 666182651
CMS Doctors and Clinicians lists 1 group name: Cotton-O'Neil Clinic Revocable Trust. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
235 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $69,117 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $52,101 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
6,923 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$235,146 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2022
All general payments: $172.93 across 3 records.
By nature of payment
- Food and Beverage: $160.77 across 2 records.
- Education: $12.16 across 1 record.
Reporting-company totals
- Novo Nordisk Inc: $116.57 across 1 record.
- ABBVIE INC.: $44.20 across 1 record.
- IMPEL PHARMACEUTICALS INC.: $12.16 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Piper Hower has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Piper Hower as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Topeka and Kansas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 177 clinicians with data). Median for this group: 693. Middle half: 234 to 1,313.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Kansas (2024, 694 clinicians with data). Median for this group: 356. Middle half: 107 to 944.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 177 clinicians with data). Median for this group: $42,061. Middle half: $14,997 to $77,294.
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Kansas (2024, 694 clinicians with data). Median for this group: $25,046. Middle half: $7,285 to $57,793.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 177 clinicians with data). Median for this group: $31,054. Middle half: $10,847 to $57,649.
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Kansas (2024, 694 clinicians with data). Median for this group: $18,143. Middle half: $5,461 to $42,257.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 163 clinicians with data). Median for this group: 516. Middle half: 130 to 1,984.
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Kansas (2024, 749 clinicians with data). Median for this group: 366. Middle half: 79 to 1,563.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Topeka, KS (2024, 163 clinicians with data). Median for this group: $40,372. Middle half: $1,563 to $159,705.
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Kansas (2024, 749 clinicians with data). Median for this group: $15,618. Middle half: $936 to $141,790.
294 active clinicians are listed under Nurse Practitioner with a practice address in Topeka, KS (1,374 in Kansas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Topeka
26.2% of these 294 clinicians have the CMS telehealth indicator.
70.1% of these 294 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 44% from 686 in 2020 to 989 in 2024.
- 2020: 686
- 2021: 680
- 2022: 761
- 2023: 855
- 2024: 989
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Medicare-allowed amount
Medicare-allowed amount increased 86% from $37,142 in 2020 to $69,117 in 2024.
- 2020: $37,142
- 2021: $48,195
- 2022: $53,796
- 2023: $56,999
- 2024: $69,117
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Paid by Medicare
Paid by Medicare increased 86% from $27,997 in 2020 to $52,101 in 2024.
- 2020: $27,997
- 2021: $35,244
- 2022: $41,532
- 2023: $44,090
- 2024: $52,101
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 81% from 1,801 in 2020 to 3,266 in 2024.
- 2020: 1,801
- 2021: 1,521
- 2022: 1,948
- 2023: 2,768
- 2024: 3,266
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30-day fills
30-day fills increased 86% from 3,721 in 2020 to 6,923 in 2024.
- 2020: 3,721
- 2021: 3,306
- 2022: 4,116
- 2023: 5,668
- 2024: 6,923
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Part D drug cost
Part D drug cost increased 187% from $82,017 in 2020 to $235,146 in 2024.
- 2020: $82,017
- 2021: $59,750
- 2022: $89,318
- 2023: $244,367
- 2024: $235,146
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $172.93.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Saxenda | General | $116.57 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $44.20 |
| IMPEL PHARMACEUTICALS INC. |
Education
In-kind items and services
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Trudhesa | General | $12.16 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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361 | 190 | $191.66 | $99.90 |
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36415
Insertion of needle into vein for collection of blood sample
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179 | 129 | $16.00 | $8.65 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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122 | 122 | $233.35 | $101.60 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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77 | 21 | $75.34 | $49.30 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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61 | 54 | $130.18 | $71.22 |
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G0008
Administration of influenza virus vaccine
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34 | 34 | $36.00 | $29.94 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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28 | 11 | $69.25 | $37.65 |
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90653
Influenza vaccine, inactivated
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24 | 24 | $108.00 | $81.82 |
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81002
Urinalysis, manual test
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23 | 22 | $20.76 | $3.41 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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18 | 18 | $62.75 | $5.51 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 14 | $258.42 | $141.63 |
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82043
Urine microalbumin (protein) level
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16 | 16 | $82.95 | $5.66 |
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G0009
Administration of pneumococcal vaccine
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16 | 16 | $33.30 | $29.94 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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13 | 13 | $540.07 | $290.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 202 | 14,408 | $1,201.24 | 53 |
| Gabapentin | Gabapentin | 173 | 11,268 | $2,698.68 | 56 |
| Amlodipine Besylate | Amlodipine Besylate | 127 | 11,018 | $1,481.80 | 40 |
| Pantoprazole Sodium | Pantoprazole Sodium | 120 | 8,301 | $1,661.68 | 33 |
| Levothyroxine Sodium | Levothyroxine Sodium | 111 | 8,381 | $702.85 | 27 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 105 | 8,734 | $1,742.51 | 36 |
| Losartan Potassium | Losartan Potassium | 92 | 7,740 | $1,380.69 | 29 |
| Lisinopril | Lisinopril | 83 | 7,470 | $321.86 | 25 |
| Simvastatin | Simvastatin | 74 | 6,437 | $564.56 | 21 |
| Metformin Hcl | Metformin Hcl | 74 | 6,000 | $369.56 | 21 |
| Omeprazole | Omeprazole | 74 | 6,495 | $891.14 | 27 |
| Hydrochlorothiazide | Hydrochlorothiazide | 66 | 5,226 | $166.65 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 59 | 3,974 | $620.14 | 14 |
| Metformin Hcl Er | Metformin Hcl | 59 | 3,770 | $1,037.56 | 16 |
| Ozempic | Semaglutide | 59 | 2,744 | $80,980.90 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 55 | 1,343 | $1,819.50 | 18 |
| Trazodone Hcl | Trazodone Hcl | 54 | 3,281 | $428.26 | 17 |
| Tramadol Hcl | Tramadol Hcl | 53 | 1,393 | $173.97 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 53 | 4,500 | $697.32 | 23 |
| Tizanidine Hcl | Tizanidine Hcl | 52 | 1,285 | $234.79 | 26 |
| Oxycodone Hcl | Oxycodone Hcl | 51 | 542 | $175.96 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 49 | 3,916 | $2,078.18 | 11 |
| Alprazolam | Alprazolam | 46 | 1,225 | $214.71 | โ |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 46 | 2,175 | $936.78 | 14 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 46 | 4,140 | $247.69 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-02-12NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20131028000760
KS
3870728918
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cotton-O'neil Clinic Revocable Trust
4505 Nw Fielding Rd, Topeka, KS 666182651
Phone: 7853549591
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Advanced Practice Registered Nurse
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: KS 76057)
Registered at 4505 NW FIELDING RD, TOPEKA, KS 666182651 (Tel: 7852700080)
Registered at 4505 NW FIELDING RD, TOPEKA, KS 666182651 (Tel: 7852700080)
NPI status registered as active in NPPES database
Registered at 1500 SW 10TH AVE, TOPEKA, KS 666041301 (Tel: 7853545598)
Registered at 1500 SW 10TH AVE, TOPEKA, KS 666041301 (Tel: 7853545598)
Recorded as PIPER HOWER, APRN
Registered Nurse (license number reported to NPPES: KS 13-106945)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Topeka
- Bailey Schmidt, APRN, FNP-C
- Rachel Zamarripa, APRN
- Leslie Leifer, APRN
- Ashley Biggs, APRN
- Brianna Mcnaughton, APRN
- Sarah Elmer, APRN
Mailing Address
4505 Nw Fielding Rd
Topeka, KS 666182651
Phone: 7852700080