Individual provider Active NPI

Jennifer Bin, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1205223013
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76660-032 Issued in KS
Practice address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone
(620) 231-9873
Fax
(620) 231-5062
NPI assigned
Apr 20, 2015
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76660-032 KS Primary

Addresses

Primary practice location

3011 N Michigan St
Pittsburg, KS 66762-2546

Mailing address

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Other names 1

  • Jennifer Valdez Former name

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
I20150610001109 KS Practitioner - Nurse Practitioner 6103147541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1626 N 8TH St
Neodesha, KS 66757-1239
Phone (620) 325-3088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76660-032KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Complexcare Medical Group Kansas H LLC CurrentSince Dec 30, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Jun 1, 2015 Accepting new patients
Theoria Medical CurrentSince Sep 16, 2024 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

1220 E 8th St
Galena, KS 66739
Phone (620) 679-0234

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

1626 N 8th St
Neodesha, KS 66757
Phone (620) 325-3088

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: jennifer.valdez@khindirect.org

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.

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1205223013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIN",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76660-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VALDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.