Active NPI
Jacqueline S Orender, DO
- Family Medicine Physician
- Pittsburg, KS
National Provider Identifier
1174559520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0529686
- Practice address
- 2305 S. Tucker Terrace
Pittsburg, KS 66762 - Phone
- (620) 231-3132
- Fax
- (620) 231-3133
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0529686 | KS | Primary |
Addresses
Primary practice location
2305 S. Tucker Terrace
Pittsburg, KS 66762
Mailing address
2305 S. Tucker Terrace
Pittsburg, KS 66762-2026
Phone (620) 231-3132
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151879 | Other | KS | KS BCBS |
| 080187136 | Other | RR MEDICARE | |
| 208374702 | Medicaid | MO | |
| 100422270A | 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060404000521 | KS | Practitioner - Family Practice | 9335157213 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
2305 S Tucker Ter
Jplmc Fam Med Tucker
Pittsburg, KS 66762-6608
Phone (620) 231-3132
Hospital & facility affiliations
- Ascension at Home
- Angels Care Home Health
- Integrity Home Care + Hospice
- Mercy Hospital Pittsburg, Inc
- Girard Medical Center
- Mercy Specialty Hospital Southeast Kansas
- Mercy Hospital Columbus
- Mercy Hospital Joplin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0529686 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
Locations
220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545
403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762
2305 S Tucker Ter
Pittsburg, KS 66762
Phone (620) 231-3132
Interoperability endpoints
- jacqueline.orender@khindirect.org
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Berryville, AR
- NPI 1356739288
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pittsburg, KS
- NPI 1407874449
-
- Home Health Agency
- Chanute, KS
- NPI 1275591760
-
- Home Health Agency
- Joplin, MO
- NPI 1205551363
-
- Home Health Agency
- Monett, MO
- NPI 1578288635
-
- Home Health Agency
- Springfield, MO
- NPI 1821096611
-
- Home Health Agency
- Lebanon, MO
- NPI 1932824091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1174559520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 S. TUCKER TERRACE",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622026",
"telephone_number": "620-231-3132",
"fax_number": "620-231-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 S. TUCKER TERRACE",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-231-3132",
"fax_number": "620-231-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORENDER",
"first_name": "JACQUELINE",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0529686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS BCBS",
"identifier": "151879",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080187136",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208374702",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100422270A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.