Individual provider Active NPI

Jessica Renee Pollet, DNP, APRN

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1134877947
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-80879 Issued in KS
Practice address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone
(316) 686-5300
Fax
(316) 651-2660
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-80879 KS Primary

Addresses

Primary practice location

3535 N Webb Rd
Wichita, KS 67226-8127

Mailing address

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

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
I20220401001126 KS Practitioner - Nurse Practitioner 5597151423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians

Practice addresses (Care Compare)

7550 W Village Cir
Suite 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
77.51
Promoting interoperability
98
Improvement activities
40
Cost
77.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80879KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Cardiology, LLC CurrentSince Apr 15, 2022 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Apr 8, 2024 Accepting new patients
Heartland Cardiology, LLC CurrentSince Apr 15, 2022 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Apr 8, 2024 Accepting new patients

Locations

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

7550 W Village Cir
Wichita, KS 67205
Phone (316) 838-2020

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1134877947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLET",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-80879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.