Individual provider Active NPI

Jeremy Estell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dodge City, KS
National Provider Identifier
1164143335
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
81516 Issued in KS
Practice address
506 Avenue L
Dodge City, KS 67801-5319
Phone
(620) 227-8566
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 81516 KS Primary

Addresses

Primary practice location

506 Avenue L
Dodge City, KS 67801-5319

Mailing address

PO Box 1905
Garden City, KS 67846-1905
Phone (620) 275-0644

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
I20221015000220 KS Practitioner - Nurse Practitioner 5890161863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Behavioral HealthGroup PAC ID 1355323122, 29 clinicians

Practice addresses (Care Compare)

506 Ave L
Dodge City, KS 67801-5319
Phone (620) 227-8566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health CurrentSince Jun 4, 2023 Accepting new patients
Compass Behavioral Health CurrentSince Sep 20, 2022 Accepting new patients

Locations

506 Avenue L
Dodge City, KS 67801
Phone (620) 227-8566

1111 E Spruce St
Garden City, KS 67846
Phone (620) 276-7689

Organizations & group practices 2

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.

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1164143335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678461905",
            "telephone_number": "620-275-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 AVENUE L",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015319",
            "telephone_number": "620-227-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELL",
        "first_name": "JEREMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "81516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.