Individual provider Active NPI

Jessica Mies, APRN

  • Family Nurse Practitioner
  • Garden Plain, KS
National Provider Identifier
1386219921
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80220-051 Issued in KS
Practice address
615 Biermann St
Garden Plain, KS 67050-5020
Phone
(316) 393-9579
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 53-80220-051 KS Primary

Addresses

Primary practice location

615 Biermann St
Garden Plain, KS 67050-5020

Mailing address

615 Biermann St
Garden Plain, KS 67050-5020
Phone (316) 393-9579

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
I20211021001840 KS Practitioner - Nurse Practitioner 9931597002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Health Care LLCGroup PAC ID 2567708142, 7 clinicians
4 Laps, LLCGroup PAC ID 0749648640, 3 clinicians

Practice addresses (Care Compare)

1541 N Lindberg Cir
The Center at Waterfront
Wichita, KS 67206-6400
Phone (316) 312-7780

3601 N Webb Rd
Wichita, KS 67226-8129
Phone (316) 630-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80220-051KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health Care LLC CurrentSince Sep 1, 2021 Accepting new patients
4 Laps LLC CurrentSince May 28, 2023 Accepting new patients

Locations

1541 N Lindberg Cir
Wichita, KS 67206
Phone (316) 258-5882

3601 N Webb Rd
Wichita, KS 67226
Phone (316) 360-5000

Organizations & group practices 2

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 3

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1386219921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BIERMANN ST",
            "city": "GARDEN PLAIN",
            "state": "KS",
            "postal_code": "670505020",
            "telephone_number": "316-393-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BIERMANN ST",
            "city": "GARDEN PLAIN",
            "state": "KS",
            "postal_code": "670505020",
            "telephone_number": "316-393-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIES",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80220-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Plain, KS

Sources for this page

Verify at the official NPI Registry.