Jenna Brockel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1201 N Forestview CT
Wichita, KS 67235-7035

Phone

(316) 706-4452

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Carepoint Emergency Medicine Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1477096097
  Medicare reassignment

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1467279109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N FORESTVIEW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672357035",
            "telephone_number": "316-706-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N FORESTVIEW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672357035",
            "telephone_number": "316-706-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKEL",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katilyn C Broberg, OD
• Brock L. McKay LLC
• Lindsay C Brock, LMFT
• Tanner D Brock, DDS
• Taylor Nicole Brock, DDS
• Manuel Brockman, MD
• Mindy Brockmeyer
• Ashley L Brockus, LMFT
• Bryan Spencer Brockus Jr., LMFT-T
• Shawn Michael Brockus, LPC-T

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.