Individual provider Active NPI

Jill Renee Linville, MD

  • Family Medicine Physician
  • Lakin, KS
National Provider Identifier
1316328396
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11018476A Issued in IN
Practice address
506 E Thorpe St
Lakin, KS 67860-4609
Phone
(620) 355-7550
Fax
(620) 355-7500
NPI assigned
Jun 15, 2015
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018476A IN Primary

Addresses

Primary practice location

506 E Thorpe St
Lakin, KS 67860-4609

Mailing address

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808002532 KS Practitioner - Family Practice 4385957323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearny County HospitalGroup PAC ID 0244148864, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

506 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550

506 N Thorpe St
Lakin, KS 67860-9604

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kearny County Hospital CurrentSince Jul 1, 2018 Accepting new patients
Kearny County Hospital CurrentSince Jul 1, 2018 Accepting new patients
Kearny County Hospital Current Accepting new patients

Locations

500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111

506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/
  • Direct secure messaging: jill.linville@khindirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1316328396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-747-3141",
            "fax_number": "765-747-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678604609",
            "telephone_number": "620-355-7550",
            "fax_number": "620-355-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018476A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakin, KS

Sources for this page

Verify at the official NPI Registry.