Individual provider Active NPI

Jennie P Le, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1013344613
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76117 Issued in KS
Practice address
961 S Glendale St
Wichita, KS 67218-3210
Phone
(316) 618-9555
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76117 KS Primary

Addresses

Primary practice location

961 S Glendale St
Wichita, KS 67218-3210

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

2402 E 13th St N
Wichita, KS 67214-2102
Phone (316) 867-6444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennie.le.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140111000214 KS Practitioner - Nurse Practitioner 1052549300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Consultants, P.a.Group PAC ID 0547169245, 23 clinicians
Centerwell Senior Primary Care KS PAGroup PAC ID 6002230349, 20 clinicians

Practice addresses (Care Compare)

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

961 S Glendale St
Wichita, KS 67218-3210
Phone (316) 618-9555

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76117KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care KS PA Current Accepting new patients
Infectious Disease Consultants, P.a. CurrentSince Apr 3, 2017 Accepting new patients
Infectious Disease Consultants, P.a. Current Accepting new patients
Centerwell Senior Primary Care KS PA CurrentSince Mar 31, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

16575 W 119th St
Olathe, KS 66061
Phone (913) 815-5008

1100 N Saint Francis Ave
Ste 130
Wichita, KS 67214
Phone (316) 264-3505

961 S Glendale St
Wichita, KS 67218
Phone (316) 618-9555

2402 E 13th St N
Wichita, KS 67214
Phone (316) 462-1050

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EECHDD/Endpoint/EECHDD
  • FHIR API: https://api.platform.athenahealth.com/3862/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1013344613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 S GLENDALE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183210",
            "telephone_number": "316-618-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 E 13th St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672142102",
            "country_code": "US",
            "telephone_number": "316-867-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNIE",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennie.le.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "961 S Glendale St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672183210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.