Active NPI
Jason D Hermreck, PA
- Physician Assistant
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 7550 W Village Cir Ste 1
Wichita, KS 67205-9364 - Phone
- (316) 838-2020
- NPI assigned
- Jun 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Mailing address
7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone (316) 838-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-02897 | Other | KS | KANSAS PHYSICIAN ASSISTANT LICENSE |
| 3000513930001 | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 E Fulton St
Garden City, KS 67846-5455
Phone (316) 838-2020
7550 W Village Cir
Wichita, KS 67205-9364
Phone (316) 838-2020
7550 W Village Circle
Wichita, KS 67205-9364
9300 E 29TH St N
Suite 205
Wichita, KS 67226-2183
Phone (405) 246-0811
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.92 of 100
- Quality
- 56.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4798 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wound Care of Kansas LLC | Current | Accepting new patients | |
| Kansas Orthopaedic Center, P.a. | Current | Accepting new patients |
Locations
101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700
7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020
9300 E 29th St N
Ste 205
Wichita, KS 67226
Phone (316) 219-4763
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812
Interoperability endpoints
- jhermreck218723@direct.integrisok.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1770265662
-
- Orthopaedic Surgery Physician
- Wichita, KS
- NPI 1437139979
-
- Orthopaedic Surgery Physician
- Garden City, KS
- NPI 1922425099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1134868342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059364",
"telephone_number": "316-838-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059364",
"telephone_number": "316-838-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMRECK",
"first_name": "JASON",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-04",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS PHYSICIAN ASSISTANT LICENSE",
"identifier": "15-02897",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000513930001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.