Individual provider Active NPI

Rachelle L Jesseph, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1457356123
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500853 Issued in KS
Practice address
10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106
Phone
(316) 219-8299
NPI assigned
Jun 17, 2005
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500853 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106

Mailing address

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Other practice location 1

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords@idckansas.com

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
I20041020000970 KS Practitioner - Physician Assistant 7416918735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 E Shannon Woods Cir
Suite 100
Wichita, KS 67226-4106
Phone (316) 219-8299

10100 E Shannon Woods Cirle
Suite 100
Wichita, KS 67226-4106

1101 N Rock Rd
Suite 300
Derby, KS 67037-3798
Phone (316) 219-8299

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as group
Quality
62.85
Promoting interoperability
99
Improvement activities
40
Cost
70.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, P.a. CurrentSince Sep 13, 2004 Accepting new patients
Mid-America Orthopedics LLC CurrentSince Jul 1, 2019 Accepting new patients
Kansas Joint & Spine Specialists, LLC CurrentSince Feb 27, 2025 Accepting new patients

Locations

10100 E Shannon Woods Cir
Ste 100
Wichita, KS 67226

1100 N Saint Francis Ave
Ste 130
Wichita, KS 67214
Phone (316) 264-3505

1923 N Webb Rd
Wichita, KS 67206
Phone (316) 262-4886

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

Interoperability endpoints

  • Direct secure messaging: medicalrecords@idckansas.com
  • Direct secure messaging: rachelle.jesseph.1@30078.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1457356123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "855-587-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672112129",
            "country_code": "US",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSEPH",
        "first_name": "RACHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "310 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672112129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.