Individual provider Active NPI

Brett J Jenlink, PA-C

  • Physician Assistant
  • Andover, KS
National Provider Identifier
1063248128
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02948 Issued in KS
Practice address
822 N Andover Rd
Andover, KS 67002-9527
Phone
(316) 247-5499
Fax
(316) 351-5965
NPI assigned
Sep 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 15-02948 KS Primary

Addresses

Primary practice location

822 N Andover Rd
Andover, KS 67002-9527

Mailing address

822 N Andover Rd
Andover, KS 67002-9527
Phone (316) 247-5499

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
I20250311000360 KS Practitioner - Physician Assistant 6002337763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maria Medical Group LLCGroup PAC ID 5991936403, 15 clinicians

Practice addresses (Care Compare)

3161 N Rock Rd a
Afc Doctors Express
Wichita, KS 67226-1312
Phone (316) 440-2712

Hospital & facility affiliations

  • Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Physical Therapy at Fho LLC Past Accepting new patients

Locations

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

Organizations & group practices 2

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 1

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1063248128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029527",
            "telephone_number": "316-247-5499",
            "fax_number": "316-351-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029527",
            "telephone_number": "316-247-5499",
            "fax_number": "316-351-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENLINK",
        "first_name": "BRETT",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.