Jennifer A Davidson, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12345 Issued in KS

Practice address

108 S Main St
Hillsboro, KS 67063-1526

Phone

(620) 877-4305

Fax

(620) 877-4320

NPI assigned

Mar 22, 2021

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsboro Hospital LLCGroup PAC ID 4587090121, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillsboro Community Hospital Hospital, Hillsboro, KS, CCN 171357

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hillsboro Hospital LLC

  dba Hillsboro Community Hospital

  • Critical Access Hospital
  • Hillsboro, KS
  • NPI 1740828912
  Medicare reassignment Care Compare group NPD
• Hillsboro Hospital LLC

  dba Hillsboro Community Hospital

  • Emergency Care Clinic/Center
  • Hillsboro, KS
  • NPI 1710525985
  Medicare reassignment
• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  OK

  Medicare reassignment
• Cah Acquisition Company 5 LLC

  dba Hillsboro Clinic

  • Rural Health Clinic/Center
  • Hillsboro, KS
  • NPI 1063792919
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hillsboro Hospital LLC

  dba Hillsboro Community Hospital

  • Critical Access Hospital
  • Hillsboro, KS
  • NPI 1740828912
  Care Compare affiliation

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1386220218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631526",
            "telephone_number": "620-877-4305",
            "fax_number": "620-877-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631526",
            "telephone_number": "620-877-4305",
            "fax_number": "620-877-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02468",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cah Acquisition Company 5 LLC (Hillsboro Clinic Downtown)
• Cah Acquisition Company 5 LLC (Hillsboro Community Hospital)
• Cah Acquisition Company 5 LLC (Hillsboro Community Hospital)
• Chirocorp PA (Fox Chiropractic Center)
• Kyler Clawson, D.C.
• Eric Driggers, PHARMD
• Madison Eck
• Gina Georgette Edwards, PHARM.D.
• Katelyn Ellis, LAT, ATC
• Vicki Lee Fickes, RN

• Family Medicine Physician in Hillsboro, KS
• Providers in Hillsboro, 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 Nov 6, 2024; 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.