Individual provider Active NPI

Jessica Rauker

  • Family Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1316610454
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84168-052 Issued in KS
Practice address
315 S Seth Child Rd
Manhattan, KS 66502-3003
Phone
(785) 776-2813
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-84168-052 KS Primary

Addresses

Primary practice location

315 S Seth Child Rd
Manhattan, KS 66502-3003

Mailing address

8570 William Dr
Manhattan, KS 66502-8637
Phone (781) 660-0256

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
I20250507000639 KS Practitioner - Nurse Practitioner 4385035138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-84168-052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Past Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

315 S Seth Child Rd
Manhattan, KS 66502
Phone (785) 587-4235

Organizations & group practices 4

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1316610454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8570 WILLIAM DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665028637",
            "telephone_number": "781-660-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003",
            "telephone_number": "785-776-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUKER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84168-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.