Jaysa L Nichols, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

13-96328-031 Issued in KS

Practice address

8080 E Central Ave
Suite 250
Wichita, KS 67206-2368

Phone

(316) 686-7327

Fax

(316) 858-1556

NPI assigned

Dec 2, 2009

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kansas Anesthesia Providers, LLC

  • Certified Registered Nurse Anesthetist
  • Andover, KS
  • NPI 1346977295

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Kansas Spine Anesthesia Corporation PA

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1720345911

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Anesthesia Providers, LLC 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

40.05 of 100Reported as group

Quality

47.12

Improvement activities

0

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4D1ac_Ty5h2vV--oigqxzpJxwsTeHb_k/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2009.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1003144015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-858-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-858-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAYSA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "13-96328-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Nibert, DDS
• Christina Marie Nicholas, MD
• Brittanie Nichols
• Candise Nichols, DPT
• Evonna Joy Nichols
• Jessica Nichols, DPT
• Kaelyn Nichols, LMFT-T
• Luke O Nichols, MD
• Michael Lee Nichols, M.S.W.
• Paige Elizabeth Nichols, MD

• All providers in Wichita, KS
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.