Individual provider Active NPI

Jason Ryan Conner, MSN, FNP-C

  • Family Nurse Practitioner
  • Wamego, KS
National Provider Identifier
1235709296
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80406 Issued in KS
Practice address
711 Genn Dr
Wamego, KS 66547-1179
Phone
(785) 456-2295
NPI assigned
Jun 30, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-80406 KS Primary
Registered Nurse 163W00000X 108703 KS

Addresses

Primary practice location

711 Genn Dr
Wamego, KS 66547-1179

Mailing address

711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-6288

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
I20210929000442 KS Practitioner - Nurse Practitioner 4486051711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Kansas LLCGroup PAC ID 1052437217, 61 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
108703KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Kansas Emergency Physicians, LLC CurrentSince Sep 1, 2024 Accepting new patients
Mep Kansas LLC CurrentSince Jan 1, 2025 Accepting new patients
Wamego Hospital Association Past Accepting new patients

Locations

10544 Parallel Pkwy
Kansas City, KS 66109
Phone (844) 285-1005

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380

Interoperability endpoints

  • Direct secure messaging: jason.conner.1@20807.direct.athenahealth.com
  • Direct secure messaging: jconner667651@direct.saint-lukes.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1235709296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471179",
            "telephone_number": "785-456-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471179",
            "telephone_number": "785-456-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80406",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "108703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

Verify at the official NPI Registry.