Individual provider Active NPI

Jessica Elizabeth Powell, APRN

  • Adult Health Nurse Practitioner
  • Newton, KS
National Provider Identifier
1174856736
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-75032-011 Issued in KS
Practice address
216 N Meridian Rd Ste 4
Newton, KS 67114-5119
Phone
(316) 300-3246
NPI assigned
Sep 15, 2009
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 53-75032-011 KS Primary

Addresses

Primary practice location

216 N Meridian Rd Ste 4
Newton, KS 67114-5119

Mailing address

216 N Meridian Rd Ste 4
Newton, KS 67114-5119
Phone (316) 300-3246

Other identifiers 1

IdentifierTypeStateIssuer
200734460DMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica@abundantcareandwellness.com

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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000312 KS Practitioner - Nurse Practitioner 5991844011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

216 N Meridian Rd
Suite 4
Newton, KS 67114-5119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75032-011KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Care and Wellness CurrentSince Nov 1, 2022 Accepting new patients
Serafini Medical, P.C. PastSince Oct 20, 2014 Accepting new patients
Louay K. Sabih, LLC Past Accepting new patients
Medical Specialists PA Past Accepting new patients
Neurology Consultants of Kansas LLC PastSince Jul 18, 2022 Accepting new patients

Locations

216 N Meridian Rd
Ste 4
Newton, KS 67114
Phone (316) 300-3246

305 N Meridian Rd
Newton, KS 67114
Phone (316) 300-3246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1174856736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MERIDIAN RD STE 4",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145119",
            "telephone_number": "316-300-3246",
            "fax_number": "866-659-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MERIDIAN RD STE 4",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145119",
            "telephone_number": "316-300-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-75032-011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200734460D",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@abundantcareandwellness.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "305 N Meridian Rd",
            "city": "Newton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671145103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.