Individual provider Active NPI

Jessica Rene Duesing, PA-C

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1013387521
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01844 Issued in KS
Practice address
930 Hayes Dr Ste B
Manhattan, KS 66502-5721
Phone
(785) 827-6453
NPI assigned
Sep 28, 2015
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01844 KS Primary

Addresses

Primary practice location

930 Hayes Dr Ste B
Manhattan, KS 66502-5721

Mailing address

1001 S Ohio St
Salina, KS 67401-5364

Other names 1

  • Jessica Rene Hake Former name

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
I20151013001357 KS Practitioner - Physician Assistant 6800105982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

930 Hayes Dr
Suite B
Manhattan, KS 66502-5721
Phone (785) 565-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01844KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. Physician Assistant CurrentSince Nov 1, 2024 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016

Interoperability endpoints

  • Direct secure messaging: jessica.duesing.1@20807.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1013387521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 HAYES DR STE B",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025721",
            "telephone_number": "785-827-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUESING",
        "first_name": "JESSICA",
        "middle_name": "RENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAKE",
            "middle_name": "RENE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.