Jennifer Callison, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-39050 Issued in KS

Practice address

4815 E 31St St S
Wichita, KS 67210-1511

Phone

(316) 613-5800

Fax

(316) 768-8000

NPI assigned

May 13, 2013

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA

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.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment NPD
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Via Christi Concierge Care Inc

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1952864589
  NPD
• Antioch Med

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1629895008
  NPD (past)
• West Wichita Family Physicians, P.a.

  dba West Wichita Minor Emergency Office

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1043228984
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1316383771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 E 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 E 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101511",
            "telephone_number": "316-613-5800",
            "fax_number": "316-768-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISON",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2023-10-04",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Caliendo, MD
• Stephanie Ann Callahan, MSN, RN
• Karen Marie Callanan, D.D.S.
• Jenifer Callaway, OTR
• Paul A Callaway, MD
• Michelle C Calvert, LPC
• Michelle Renee Calvert, M.D.
• Harley E Calvin, D.O.
• Alicia Ann Camacho, TLAC
• Joseph Anthony Camacho, M.D.

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.