Individual provider Active NPI

Rachel Ann Jefferis, FNP

  • Family Nurse Practitioner
  • Anthony, KS
National Provider Identifier
1497351944
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79799-021 Issued in KS
Practice address
501 N Lincoln Ave
Anthony, KS 67003-2227
Phone
(620) 513-0332
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-79799-021 KS Primary

Addresses

Primary practice location

501 N Lincoln Ave
Anthony, KS 67003-2227

Mailing address

501 N Lincoln Ave
Anthony, KS 67003-2227
Phone (620) 513-0332

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
I20240327002538 KS Practitioner - Nurse Practitioner 4789021668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermes Healthcare PAGroup PAC ID 4284953399, 12 clinicians

Practice addresses (Care Compare)

3343 W Central Ave
Wichita, KS 67203-4917
Phone (316) 260-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79799-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hermes Healthcare PA CurrentSince Sep 2, 2025 Accepting new patients

Locations

3015 N Penstemon St
Wichita, KS 67226
Phone 3162604110601

3343 W Central Ave
Wichita, KS 67203
Phone (316) 260-4110

Organizations & group practices 1

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1497351944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LINCOLN AVE",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032227",
            "telephone_number": "620-513-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LINCOLN AVE",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032227",
            "telephone_number": "620-513-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79799-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthony, KS

Sources for this page

Verify at the official NPI Registry.