Jennifer Wagner, APRN
Individual provider Active NPI Family Nurse Practitioner · Newton, KS
NPI 1083387757 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1083387757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-80310-042 (KS)
- Practice address
- 720 Medical Center Dr
Newton, KS 67114-8778 - Phone
- (316) 283-6103
- Fax
- (316) 283-1333
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation Inc
Health Ministries Clinic Inc
Practice addresses (Care Compare)
1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877
720 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-6103
Hospital & facility affiliations
- NMC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831003572 | KS | Practitioner - Nurse Practitioner | 7719383603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80310-042 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Ministries Clinic, Inc | Current | Accepting new patients | |
| Health Ministries Clinic, Inc. | Current |
Accepting new patients | |
| Health Ministries Clinic, Inc. | Current |
Accepting new patients |
Locations
126 Main St
Halstead, KS 67056
Phone (316) 835-3700
700 Medical Center Dr
Ste 101
Newton, KS 67114
Phone (316) 283-0027
720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103
700 Medical Center Dr
Newton, KS 67114
Phone (316) 283-7100
700 Medical Center Dr
Ste 101102
Newton, KS 67114
Phone (316) 283-6103
215 S Pine St
Newton, KS 67114
Phone (316) 283-4400
209 S Pine St
Newton, KS 67114
Phone (316) 283-6103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-80310-042 | KS | Yes |
Addresses
Primary practice location
720 Medical Center Dr
Newton, KS 67114-8778
Mailing address
1947 N Founders Cir
Wichita, KS 67206-3548
Phone (316) 613-4640
Other practice location 1
700 Medical Center Dr Ste 101102
Newton, KS 67114-9013
Phone (316) 283-6103
Other providers in Newton, KS
- Addison Voth
- Eugene R Voth
- Tawny Lou Voyles
- Adolia Jean Wagner
- Harry Wagner
- Jane Eileen Wagoner
- Wal-Mart Stores, Inc.
- Walgreen Co
- Barbara Walker
- Walmart Inc.
All providers in Newton, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.