Individual provider Active NPI

Jason Kruse, PA-C

  • Physician Assistant
  • Kinsley, KS
National Provider Identifier
1295815330
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00507 Issued in KS
Practice address
620 W 8TH St
Kinsley, KS 67547-2329
Phone
(620) 659-3811
Fax
(620) 659-3885
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00507 KS Primary

Addresses

Primary practice location

620 W 8TH St
Kinsley, KS 67547-2329

Mailing address

620 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-3811

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
I20040602000291 KS Practitioner - Physician Assistant 6406838739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Oxford Rd
Fern Park, FL 32730-2111

13 E Central Pkwy
Wichita, KS 67206-2548

2707 Vine St
Suite 10
Hays, KS 67601-1907

512 Eberhart LN
Apt 1604
Austin, TX 78745-4481

7404 E Magill St
Wichita, KS 67206-3806

835 N Hillside St
Wichita, KS 67214-4913

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.55 of 100Reported as group
Quality
55.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00507KSMDBehavioral Analyst
15-00507KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services, PA Past Accepting new patients
Scott E Manthei PC LTD PastSince Dec 24, 2023 Accepting new patients
Manhattan Dermatology, PA PastSince Apr 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkruse@heartlandderm.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1782864000000",
    "number": "1295815330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3811",
            "fax_number": "620-659-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3811",
            "fax_number": "620-659-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinsley, KS

Sources for this page

Verify at the official NPI Registry.