Individual provider Active NPI

Jacy F Barker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1407281272
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
76157 Issued in KS
Practice address
1919 N Amidon Ave
Ste 130
Wichita, KS 67203-2117
Phone
(316) 660-7675
Fax
(316) 832-1571
NPI assigned
Sep 11, 2013
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 76157 KS Primary

Addresses

Primary practice location

1919 N Amidon Ave
Ste 130
Wichita, KS 67203-2117

Mailing address

1919 N Amidon Ave
Ste 130
Wichita, KS 67203-2118
Phone (316) 660-7600

Other practice location 1

933 N Topeka St
Wichita, KS 67214-3620
Phone (316) 312-0002

Other identifiers 1

IdentifierTypeStateIssuer
201083910CMedicaidKS

Other names 1

  • Jacy F Suttlemeyer Former name

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
I20140304000176 KS Practitioner - Nurse Practitioner 1557591997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych-Aprn LLCGroup PAC ID 1850781287, 7 clinicians
County of SedgwickGroup PAC ID 2961304779, 25 clinicians
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

Wichita, KS 67209
Phone (316) 554-6711

1919 N Amidon Ave
Wichita, KS 67203-2118

3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 804-6005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.73 of 100Reported as group
Quality
54.57
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76157KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych-Aprn, LLC CurrentSince Oct 25, 2021 Accepting new patients
Newton Healthcare Corporation CurrentSince Dec 1, 2014 Accepting new patients
County of Sedgwick CurrentSince May 17, 2014 Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince Apr 16, 2023 Accepting new patients
Newton Healthcare Corporation CurrentSince Dec 1, 2014 Accepting new patients
County of Sedgwick Past Accepting new patients
Neurology Consultants of Kansas LLC PastSince Jul 18, 2022 Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675

1929 W 21st St N
Wichita, KS 67203
Phone (316) 660-7700

271 W 3rd St N
Ste 600
Wichita, KS 67202

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD
  • Direct secure messaging: jacybarker@amh.ssdirect.aprima.com

Organizations & group practices 8

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 1

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1407281272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON AVE",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032118",
            "telephone_number": "316-660-7600",
            "fax_number": "316-660-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON AVE",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032117",
            "telephone_number": "316-660-7675",
            "fax_number": "316-832-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 N Topeka St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143620",
            "country_code": "US",
            "telephone_number": "316-312-0002",
            "fax_number": "316-854-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JACY",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "76157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201083910C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACY",
            "last_name": "SUTTLEMEYER",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.