Linsey Jackman, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01817 Issued in KS

Practice address

505 S Plummer Ave
Chanute, KS 66720

Phone

(620) 431-2500

Fax

(620) 431-4418

NPI assigned

Aug 26, 2015

Last updated

May 29, 2018By the provider in NPPES

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 names 1

• Linsey Bahns Former name

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complexcare Medical Group Kansas M LLCGroup PAC ID 5193206845, 4 clinicians

Hylo Urgent Care Clinics, P.a.Group PAC ID 7618042698, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hylo Urgent Care Clinics, P.a.

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1821260183
  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Kansas M LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1538042338
  Care Compare group
• Hylo Urgent Care Clinics, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1477190999
  NPD
• County of Montgomery

  dba Montgomery County Health Department

  • Public Health or Welfare Agency
  • Coffeyville, KS
  • NPI 1124126073
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1053788901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667200946",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "66720",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Union St",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673376020",
            "country_code": "US",
            "telephone_number": "620-251-4300",
            "fax_number": "620-251-4979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "LINSEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINSEY",
            "last_name": "BAHNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashton Holman
• Kimberly Kay Holmes, OTR/L
• Katie Maria Holtzman, DPT
• Amy L Hunt, PA-C
• Bryce Isaac, DPT
• Amber Jewell
• Jill Marie Leighter
• Rachel Michelle Jimenez, PA-C
• Monty Roy John, CRNA
• Edith Johnson, LAC

• Physician Assistant in Chanute, KS
• Providers in Chanute, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.