Individual provider Active NPI

Jill Joan Allen, APRN

  • Family Medicine Physician
  • Junction City, KS
National Provider Identifier
1396202198
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53-78584-031 Issued in KS
Practice address
1102 Saint Marys Rd
Junction City, KS 66441-4196
Phone
(784) 238-4131
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53-78584-031 KS Primary

Addresses

Primary practice location

1102 Saint Marys Rd
Junction City, KS 66441-4196

Mailing address

2122 Brooke BND
Junction City, KS 66441-1410
Phone (847) 738-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 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
I20200929000701 KS Practitioner - Nurse Practitioner 7719306539
I20220225001526 NE Practitioner - Nurse Practitioner 7719306539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Point Medical Solutions LLCGroup PAC ID 8729573654, 4 clinicians

Practice addresses (Care Compare)

14104 S St
Omaha, NE 68137-2636
Phone (402) 964-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78584-031KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Omaha Maple LLC Current Accepting new patients
Midwest Minor Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Pulse Point Medical Solutions LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

14104 S St
Omaha, NE 68137
Phone (402) 827-6710

3830 N 167th Ct
Omaha, NE 68116
Phone (402) 502-2290

Interoperability endpoints

  • Direct secure messaging: jill.allen.1@31007.direct.athenahealth.com

Organizations & group practices 3

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1396202198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 BROOKE BND",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664411410",
            "telephone_number": "847-738-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414196",
            "telephone_number": "784-238-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JILL",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-78584-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.