Jennifer Rachel Wattenbarger, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

45306 Issued in KS

Practice address

2340 E Meyer Blvd Ste 546
Kansas City, MO 64132-1110

Phone

(816) 926-0777

Fax

(816) 926-0707

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Rachel Clark Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Oncology Associates LLCGroup PAC ID 3779635172, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Midwest Oncology Associates LLC

  • Hematology & Oncology Physician
  • Kansas City, MO
  • NPI 1699911677

  KS

  Medicare reassignment Care Compare group
• Kansas City General and Vascular Surgeons, P.a.

  • Surgery Physician
  • Overland Park, KS
  • NPI 1992778526
  NPD (past)
• Kansas City Vascular & General Surgery Group LLC

  • Vascular Surgery Physician
  • Overland Park, KS
  • NPI 1295968865
  NPD (past)

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

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043215601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 546",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-926-0777",
            "fax_number": "816-926-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD STE 546",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321110",
            "telephone_number": "816-926-0777",
            "fax_number": "816-926-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTENBARGER",
        "first_name": "JENNIFER",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "149378",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "97914",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.WATTENBARGER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2340 E Meyer Blvd Ste 546",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641321110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLARK",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Belding Watson
• Rosmary Watson
• Tiffany Y Watson, MD
• Vanessa Watson, RN, IBCLC
• Amber Watt
• Sean Wattenbarger, DC
• Johnathon Watterson, PHARM.D.
• Cecil Elliott Wattree Jr., LSCSW, LCSW
• Beau Watts
• Cassandra Kay Watts, FNP-C

• Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.
• 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.