Jacqualine M Robinson, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

53-79658 Issued in KS

Practice address

9350 E 35TH St N Ste 101
Wichita, KS 67226-2022

Phone

(316) 265-1308

Fax

(316) 265-4480

NPI assigned

Aug 19, 2020

Last updated

Sep 23, 2021By 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

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct.cardiovascularconsultantsofks@ccme.com
• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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.

• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020
  Medicare reassignment Care Compare group NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS

  Medicare reassignment Care Compare group NPD
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Physician Group

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  Medicare reassignment NPD
• Aziz R Maksoud MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1861613598
  Medicare reassignment NPD
• Bassem M Chehab MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1750623732
  Medicare reassignment NPD
• Christian a. Hourani, MD, PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1710472162
  Medicare reassignment NPD
• Jason T Tauke MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1710917430
  Medicare reassignment NPD
• Layne M Reusser MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1598908402
  Medicare reassignment NPD
• Richard a Steckley MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1265761829
  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS

  Medicare reassignment NPD
• Thomas L Ashcom MD PHD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1528201514
  Medicare reassignment
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Critical Care Transport

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1336751619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111518",
            "telephone_number": "316-686-7117",
            "fax_number": "316-686-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262022",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 S Laura Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672111518",
            "country_code": "US",
            "telephone_number": "316-686-7117",
            "fax_number": "316-686-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACQUALINE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-09-23",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-79658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201307080A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.cardiovascularconsultantsofks@ccme.com",
            "affiliation": "N",
            "address_1": "9350 E 35th St N Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheriana Robinson, NP
• Christopher Robinson
• Dawn R Robinson, LSCSW, LLC
• Diana M Robinson, SLP
• Donna Robinson, APRN
• Jana Jo Robinson, ACNP-BC
• John Robinson
• Kerrie Robinson, PTA
• Laila Michelle Robinson, LMSW
• Maya Taylor Robinson

• Gerontology Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Gerontology Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.

Verify at the official NPI Registry.