Jennifer Peterson, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-77876-072 Issued in KS

Practice address

315 S Seth Child Rd
Manhattan, KS 66502-3003

Phone

(785) 776-2813

Fax

(785) 776-2851

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Practice Physician
  • Manhattan, KS
  • NPI 1144220153
  Medicare reassignment NPD
• Centerpointe Physicians PA

  • Internal Medicine Physician
  • Manhattan, KS
  • NPI 1316439086
  Medicare reassignment NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • Interventional Cardiology Physician
  • Manhattan, KS
  • NPI 1720271091
  NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  NPD

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1023537677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003",
            "telephone_number": "785-776-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003",
            "telephone_number": "785-776-2813",
            "fax_number": "785-776-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77876-072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "53-77876-072",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Kay Peterman, MS, LPC
• Heather Petermann, AUTISM SPECIALIST
• Clark Allen Petersen, D.C.
• Peterson Laboratory Services, PA
• Peterson Laboratory Services, PA
• Katherine K Peterson, SLP
• Peggy S Peterson, D.O.
• Victoria J Pettay
• Kelli Renae Pettijohn
• Britney Petty, RD LD

• Family Nurse Practitioner in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.