Jody Buchanan, APRN
Individual provider Active NPI Women's Health Nurse Practitioner · Andover, KS
NPI 1295500833 · NPPES record last updated Jul 25, 2026
Key facts
- NPI
- 1295500833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 53-82669-031 (KS)
- Practice address
- 215 S Andover Rd Ste E
Andover, KS 67002-8055 - Phone
- (316) 247-0402
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20240306000734 | KS | Practitioner - Nurse Practitioner | 3870939499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82669-031 | KS | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KS Womens Health Clinic | Women'S Health | Current | Accepting new patients |
| Sakura Health and Wellness, Professional Limited Liability Company | Past |
Accepting new patients |
Locations
215 S Andover Rd
Ste E
Andover, KS 67002
Phone (316) 247-0402
Interoperability endpoints
- jody.buchanan.1@22779.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 53-82669-031 | KS | Yes |
Addresses
Primary practice location
215 S Andover Rd Ste E
Andover, KS 67002-8055
Mailing address
215 S Andover Rd Ste E
Andover, KS 67002-8055
Phone (316) 247-0402
Other providers in Andover, KS
- Lura L Borsdorf
- Christianna Diane Bowen
- Angelica Bretton
- Bruce A Brittain
- McKay Alexander Brumfield
- Betsy Bumgarner
- Lyndsey Buseman
- Casandra Lea Butler
- Shana Cables
- Carepoint Emergency Medicine Kansas, LLC
All providers in Andover, KS · Women's Health 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 Jul 25, 2026. 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.