Jennifer Leigh Askeroth, PA-C
Individual provider Active NPI Physician Assistant · Overland Park, KS
NPI 1205237484 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1205237484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1553 (NV)
- Practice address
- 10701 Nall Ave
Suite 100
Overland Park, KS 66211-1363 - Phone
- (913) 647-4151
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217000457 | MO | Practitioner - Physician Assistant | 6608198890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1553 | NV | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1553 | NV | Yes |
Addresses
Primary practice location
10701 Nall Ave
Suite 100
Overland Park, KS 66211-1363
Mailing address
10701 Nall Ave
Suite 100
Overland Park, KS 66211-1363
Phone (913) 647-4151
Other names
- Jennifer Leigh Soderberg
Other providers in Overland Park, KS
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- Cari Ann Asjes
- Stacy D Asper
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All providers in Overland Park, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.