Janetta K Freeman, RNC, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1500649 Issued in KS

Practice address

505 N Main St
Ulysses, KS 67880-2135

Phone

(620) 356-1261

NPI assigned

Oct 5, 2006

Last updated

Nov 9, 2020By 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

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

University of North Dakota School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Regional Medical Center CorporationGroup PAC ID 1355253238, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janetta.freeman.1@14930.direct.athenahealth.com

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.

• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Medicare reassignment Care Compare group NPD
• Pratt Regional Medical Center Corporation

  dba PRMC Infusion and Wound Care Clinic

  • Infusion Therapy Clinic/Center
  • Pratt, KS
  • NPI 1689246753
  NPD
• Cancer Center of Kansas, P.a.

  • Hematology & Oncology Physician
  • Wichita, KS
  • NPI 1841251394
  NPD (past)
• Commonspirit Kansas, Inc.

  dba Bob Wilson Memorial Hospital

  • Rural Health Clinic/Center
  • Ulysses, KS
  • NPI 1710422795
  NPD (past)
• Commonspirit Kansas, Inc.

  • Pediatrics Physician
  • Garden City, KS
  • NPI 1922558279
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1083700934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802135",
            "telephone_number": "620-356-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802135",
            "telephone_number": "620-356-1261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Commodore St",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671242903",
            "country_code": "US",
            "telephone_number": "620-450-1130",
            "fax_number": "620-450-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JANETTA",
        "middle_name": "K",
        "credential": "RNC, PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1500649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynatest Inc
• Family Dentistry
• Family Practice Associates of Ulysses LLC
• First Avenue Dental, P.a. (First Dental)
• Jacey Fischbach
• Good Choice Chiropractic,Inc (Kinesiology of Kansas & Wellness Center)
• Grant County Medical Equipment,LLC
• Gray Matter Mental Health and Recovery, LLC
• Chelsea Gray, APRN
• Rochelle Elieen Haney, DC

• Surgical Physician Assistant in Ulysses, KS
• Providers in Ulysses, KS by specialty
• Surgical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.