Active NPI
Jason Kruse, PA-C
- Physician Assistant
- Kinsley, KS
National Provider Identifier
1295815330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-00507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Promoting interoperability
- 90
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.55 of 100
- Quality
- 55.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00507 | KS | MD | Behavioral Analyst |
| 15-00507 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services, PA | Past | Accepting new patients | |
| Scott E Manthei PC LTD | Past | Accepting new patients | |
| Manhattan Dermatology, PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Critical Access Hospital
- Kinsley, KS
- NPI 1851403869
KS
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
-
- Medical Specialty Clinic/Center
- Manhattan, KS
- NPI 1356588503
-
- Otolaryngology/Facial Plastic Surgery Physician
- Henderson, NV
- NPI 1194724237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.