Individual provider Active NPI

Janella F Dewitt, P.A.

  • Medical Physician Assistant
  • Overland Park, KS
National Provider Identifier
1295820983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
04-22049 Issued in KS
Practice address
12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324
Phone
(913) 491-1616
Fax
(913) 529-6139
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 04-22049 KS Primary

Addresses

Primary practice location

12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324

Mailing address

12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324
Phone (913) 491-1616

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
I20100826000157 KS Practitioner - Physician Assistant 2365566460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Medical Group of Overland Park, LLCGroup PAC ID 0244425841, 8 clinicians

Practice addresses (Care Compare)

13801 Metcalf Ave
Suite 100
Overland Park, KS 66223-3092
Phone (913) 491-1616

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22049KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Group, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janella.dewitt@hca2.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295820983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-529-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-529-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JANELLA",
        "middle_name": "F",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "04-22049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.