Jennifer J Harris, ARNP
Individual provider Active NPI Nurse Practitioner · Parsons, KS
NPI 1366422693 · NPPES record last updated Sep 24, 2010
Key facts
- NPI
- 1366422693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 45781 (KS)
- Practice address
- 1902 S US Highway 59
Parsons, KS 67357-4948 - Phone
- (316) 421-4881
- Fax
- (316) 858-2521
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital District No 1 Crawford County
Practice addresses (Care Compare)
120 NW 400 Hwy
Cherokee, KS 66724-9649
Phone (620) 457-8101
Hospital & facility affiliations
- Girard Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000670 | KS | Practitioner - Nurse Practitioner | 4880792498 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45781 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital District No 1 Crawford County | Current | Accepting new patients | |
| Hospital District No 1 Crawford County | Nurse Practitioner | Current |
Accepting new patients |
| Pawnee Valley Community Hospital Inc | Past | Accepting new patients |
Locations
419 E Washington St
Arma, KS 66712
Phone (620) 347-4711
120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101
109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008
302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 45781 | KS | Yes |
Addresses
Primary practice location
1902 S US Highway 59
Parsons, KS 67357-4948
Mailing address
2600 N Woodlawn St
Wichita, KS 67220-2729
Phone (316) 684-3838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200426840A | Medicaid | KS |
Other providers in Parsons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.