Individual provider Active NPI

Jason D Hermreck, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1134868342
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15-02897OtherKSKANSAS PHYSICIAN ASSISTANT LICENSE
3000513930001MedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605001450 KS Practitioner - Physician Assistant 8729461470 Reassigns benefits to 2 organizations

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
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians
Total Wound Care of Kansas LLCGroup PAC ID 2860846664, 12 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
4798OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wound Care of Kansas LLC CurrentSince Nov 10, 2025 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince May 14, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.