Individual provider Active NPI

Payton Jaimes, APRN, FNP-C

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1386403350
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83003-122 Issued in MO
Practice address
1803 W 6TH St
Lawrence, KS 66044-1710
Phone
(785) 841-7297
Fax
(785) 856-0375
NPI assigned
Mar 13, 2024
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 53-83003-122 MO Primary

Addresses

Primary practice location

1803 W 6TH St
Lawrence, KS 66044-1710

Mailing address

1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Other practice location 1

13101 State Line Rd
Kansas City, MO 64145-1650
Phone (816) 942-2438

Other practice location 2

1312 W 6th St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20240520001376 MO Practitioner - Nurse Practitioner 1951743145 Reassigns benefits to 1 organization
I20241031002736 KS Practitioner - Nurse Practitioner 1951743145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-83003-122MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Medical Clinic, Inc. Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Apr 18, 2024 Accepting new patients
Heartland Medical Clinic, Inc Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
Heartland Medical Clinic, Inc Past Accepting new patients

Locations

1312 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

3201 S 7 Hwy
Blue Springs, MO 64014
Phone (816) 220-2302

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

13101 State Line Rd
Kansas City, MO 64145
Phone (816) 942-2438

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1386403350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441710",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451650",
            "country_code": "US",
            "telephone_number": "816-942-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660442219",
            "country_code": "US",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIMES",
        "first_name": "PAYTON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "53-83003-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.