Jeffery Mitchell Parker, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02535 Issued in KS

Practice address

1133 College Ave Ste G100
Manhattan, KS 66502-2756

Phone

(785) 537-8710

Fax

(785) 537-0562

NPI assigned

Jun 27, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Urologists, PAGroup PAC ID 0244207488, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nemaha Valley Community Hospital Hospital, Seneca, KS, CCN 171315
• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
• Wamego Health Center Hospital, Wamego, KS, CCN 171337
• Stormont Vail Health Flint Hills, LLC Hospital, Junction City, KS, CCN 170074
• Community Hospital, Onaga and St Marys Campus Hospital, Onaga, KS, CCN 171354

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeffery.parker@1092.chartlogic.direct-ci.com
• Direct secure messaging: jeffery.parker@1092asc.chartlogic.direct-ci.com

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.

• Associated Urologists, PA

  • Urology Physician
  • Manhattan, KS
  • NPI 1760453674
  Medicare reassignment Care Compare group
• Associated Urologists Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Manhattan, KS
  • NPI 1184948663
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation
• Community Healthcare System, Inc

  dba Community Hospital Onaga & St Marys

  • Critical Access Hospital
  • Onaga, KS
  • NPI 1457351389
  Care Compare affiliation
• Nemaha Valley Community Hospital

  • Critical Access Hospital
  • Seneca, KS
  • NPI 1669470712
  Care Compare affiliation
• Stormont Vail Health Flint Hills LLC

  dba Stormont Vail Health Flint Hills

  • General Acute Care Hospital
  • Junction City, KS
  • NPI 1679280192
  Care Compare affiliation
• Wamego Hospital Association

  dba Wamego Health Center and Wamego Family Clinic

  • Critical Access Hospital
  • Wamego, KS
  • NPI 1588657928
  Care Compare affiliation

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1487224036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 BROOKFIELD DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665031418",
            "telephone_number": "785-341-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE G100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022756",
            "telephone_number": "785-537-8710",
            "fax_number": "785-537-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Brookfield Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665031418",
            "country_code": "US",
            "telephone_number": "785-341-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JEFFERY",
        "middle_name": "MITCHELL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02535",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID 15418963",
            "identifier": "15418963",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeffery.Parker@1092.chartlogic.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Jeffery.Parker@1092.chartlogic.direct-ci.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1133 College Ave Ste G100",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665022756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malia Palenske, MS, CCC-SLP
• Sarah Kate Palenzuela, SLP
• Lauren Palmer, D.C.
• Bryce A. Palmgren, M.D.
• Adam Louis Paquette, DC
• Meri Parker, RN
• Ruth Mae Parker, CRNA
• Veronica Parker
• Janice J. Parsons, RPH
• Lynn Kay Parsons, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.