Individual provider Active NPI

Jessi Nicole Bandy, DC

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1073101747
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06100 Issued in KS
Practice address
324C Southwind PL
Manhattan, KS 66503-3134
Phone
(785) 320-5300
NPI assigned
Jan 7, 2021
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06100 KS Primary

Addresses

Primary practice location

324C Southwind PL
Manhattan, KS 66503-3134

Mailing address

324C Southwind PL
Manhattan, KS 66503-3134
Phone (785) 320-5300

Other names 1

  • Jessi Nicole Aufrecht Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL acomhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922000236 MO Practitioner - Chiropractic 1254745664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Life Chiropractic of Belton PCGroup PAC ID 2062733728, 2 clinicians

Practice addresses (Care Compare)

114 Congress St
Belton, MO 64012-2400
Phone (816) 331-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Chiropractic of Belton, P.C. Chiropractor CurrentSince Sep 20, 2023 Accepting new patients
Abundant Life Chiropractic, LLC Chiropractor PastSince Sep 20, 2023 Accepting new patients

Locations

114 Congress St
Belton, MO 64012
Phone (816) 331-8900

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

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1073101747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324C SOUTHWIND PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033134",
            "telephone_number": "785-320-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324C SOUTHWIND PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033134",
            "telephone_number": "785-320-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "JESSI",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "acomhealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "324C Southwind Pl",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665033134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "AUFRECHT",
            "middle_name": "NICOLE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.