Individual provider Active NPI

Jason Edward Kimm, FNP

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1144749672
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77844-072 Issued in KS
Practice address
800 W Frontier LN
Olathe, KS 66061-7216
Phone
(877) 397-7800
NPI assigned
Sep 15, 2017
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 155240 KS
Family Nurse Practitioner 363LF0000X AP61106110 WA
Family Nurse Practitioner 363LF0000X 53-77844-072 KS Primary

Addresses

Primary practice location

800 W Frontier LN
Olathe, KS 66061-7216

Mailing address

17259 3Rd St
Lawrence, KS 66044-9347
Phone (913) 220-8138

Other practice location 1

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL, IA, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180508001466 KS Practitioner - Nurse Practitioner 8628332244 Reassigns benefits to 11 organizations
I20210917002838 FL Practitioner - Nurse Practitioner 8628332244 Reassigns benefits to 2 organizations
I20230706000234 IA Practitioner - Nurse Practitioner 8628332244 Reassigns benefits to 2 organizations
I20241125004091 WA Practitioner - Nurse Practitioner 8628332244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukhs Great Bend LLCGroup PAC ID 5597016378, 64 clinicians

Practice addresses (Care Compare)

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
155240KSMDFamily Nurse Practitioner
53-77844-072KSMDFamily Nurse Practitioner
AP61106110WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Lincoln County Public Hospital District 1 CurrentSince May 1, 2024 Accepting new patients
Monroe County Hospital Current Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
FL-I Medical Services LLC CurrentSince Nov 16, 2021 Accepting new patients
Washington Emergency Physician Partners PLLC CurrentSince Oct 19, 2024 Accepting new patients
FL-I Medical Services, LLC CurrentSince Nov 16, 2021 Accepting new patients
Hospital District No. 1 of Dickinson County, Kansas Family CurrentSince Jan 1, 2022 Accepting new patients
Coffey County Hospital Current Accepting new patients
Coffey County Hospital CurrentSince Dec 15, 2022 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Sep 2, 2025 Accepting new patients
William Newton Memorial Hospital CurrentSince Jun 1, 2019 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Sep 16, 2025 Accepting new patients
Washington Emergency Physician Partners, PLLC CurrentSince Oct 19, 2024 Accepting new patients
Coffey County Hospital CurrentSince Dec 15, 2022 Accepting new patients
Meade Hospital District CurrentSince Oct 23, 2020 Accepting new patients
William Newton Memorial Hospital CurrentSince Jun 1, 2019 Accepting new patients
Monroe County Hospital CurrentSince Jun 1, 2023 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Oct 2, 2025 Accepting new patients
Rogue Valley Manor, Inc Current Accepting new patients
Adams County Public Hospital District 3 CurrentSince Oct 11, 2025 Accepting new patients
Hiawatha Hospital Association Inc Family CurrentSince Sep 2, 2025 Accepting new patients
Meade Hospital District CurrentSince Oct 23, 2020 Accepting new patients
Meade Hospital District Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Sep 16, 2025 Accepting new patients
Ukhs Great Bend, LLC CurrentSince Mar 18, 2019 Accepting new patients
Hospital District No. 1 of Dickinson County, Kansas CurrentSince Jan 1, 2022 Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients
Rainier Emergency Physicians LLC Past Accepting new patients
Meade Hospital District Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3526 S Florida Ave
Lakeland, FL 33803
Phone (863) 400-4747

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

511 NE 10th St
Abilene, KS 67410
Phone (785) 263-2100

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

200 Corporate Blvd
Lafayette, LA 70508

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6437d534-74f4-4c4d-974f-f529c9435777/
  • Direct secure messaging: jason.kimm.1@11418.direct.athenahealth.com
  • Direct secure messaging: jason.kimm.1@11985.direct.athenahealth.com
  • Direct secure messaging: jason.kimm.p1@direct.schcmed.nextgenshare.com

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 5

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1144749672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17259 3RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660449347",
            "telephone_number": "913-220-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W FRONTIER LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617216",
            "telephone_number": "877-397-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMM",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "155240",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61106110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77844-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.