Individual provider Active NPI

Jody S Toerber-Clark, FNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wamego, KS
National Provider Identifier
1285714113
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
45326 Issued in KS
Practice address
904 5TH Street
Provider Enrollment
Wamego, KS 66547-4619
Phone
(785) 456-9773
Fax
(785) 456-1432
NPI assigned
Oct 16, 2006
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 45326 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 45326 KS Primary

Addresses

Primary practice location

904 5TH Street
Provider Enrollment
Wamego, KS 66547-4619

Mailing address

904 5TH Street
Provider Enrollment
Wamego, KS 66547
Phone (785) 456-9773

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
I20070313000630 KS Practitioner - Nurse Practitioner 0042313900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prairie Winds Family Care LLCGroup PAC ID 5698184786, 3 clinicians

Practice addresses (Care Compare)

1507 W US Hwy 24
Wamego, KS 66547-1322
Phone (785) 456-9773

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Winds Family Care LLC Family CurrentSince Dec 11, 2023 Accepting new patients

Locations

1507 W US Highway 24
Wamego, KS 66547
Phone (785) 456-9773

904 5th St
Wamego, KS 66547
Phone (785) 456-9773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22639/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jody.toerber-clark.1@22639.direct.athenahealth.com
  • Direct secure messaging: jody.toerber-clark.1@33888.direct.athenahealth.com

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1285714113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 5TH STREET",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "66547",
            "telephone_number": "785-456-9773",
            "fax_number": "785-456-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 5TH STREET",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665474619",
            "telephone_number": "785-456-9773",
            "fax_number": "785-456-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOERBER-CLARK",
        "first_name": "JODY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-07-18",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45326",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "45326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

Verify at the official NPI Registry.