Jason Ryan Conner, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wamego, KS
NPI 1235709296 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1235709296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-80406 (KS)
- Practice address
- 711 Genn Dr
Wamego, KS 66547-1179 - Phone
- (785) 456-2295
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mep Kansas LLC
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
Hospital & facility affiliations
- Saint Luke'S South Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929000442 | KS | Practitioner - Nurse Practitioner | 4486051711 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108703 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Kansas Emergency Physicians, LLC | Current |
Accepting new patients | |
| Mep Kansas LLC | Current |
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
13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
Interoperability endpoints
- jason.conner.1@20807.direct.athenahealth.com
- jconner667651@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-80406 | KS | Yes |
| 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
Other providers in Wamego, KS
- Nolan Kay Carlson
- Children'S Choice Inc
- Rylee Elizabeth Coalson
- Community Health Ministry, Inc.
- Complete Care Chiropractic LLC
- County of Pottawatomie
- CPF Senior Living - Wamego LLC
- Bradley D Cutting
- Dillinger Chiropractic Clinic, PA
- Kyle T Dillinger
All providers in Wamego, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.