Active NPI
Jessica Lynn Mowry, M.D.
- Family Medicine Physician
- Gardner, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-42283
- Practice address
- 18320 S Center St
Gardner, KS 66030-9157 - Phone
- (913) 856-5577
- Fax
- (913) 856-3907
- NPI assigned
- Apr 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-42283 | KS | Primary |
Addresses
Primary practice location
18320 S Center St
Gardner, KS 66030-9157
Mailing address
18320 S Center St
Gardner, KS 66030-9157
Phone (913) 856-5577
Other names 1
- Jessica Lynn Ortman
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29475 W 189TH Ter
Gardner, KS 66030-9428
Phone (913) 588-1227
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
- St Lukes Hospital of Kansas City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-42283 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayhawk Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
29475 W 189th Ter
Gardner, KS 66030
Phone (913) 445-5577
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Interoperability endpoints
- jmowry755696@direct.kuha.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Shawnee, KS
- NPI 1528025053
-
- Family Medicine Physician
- Olathe, KS
- NPI 1598784639
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1982665436
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1063655348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18320 S CENTER ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660309157",
"telephone_number": "913-856-5577",
"fax_number": "913-856-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18320 S CENTER ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660309157",
"telephone_number": "913-856-5577",
"fax_number": "913-856-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWRY",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-42283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ORTMAN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gardner, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.