Individual provider Active NPI

Jennifer Louise Pharris, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1508020165
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009018145 Issued in MO
Practice address
850 N Hillside St
Wichita, KS 67214-4914
Phone
(316) 962-2000
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50949 CO
Family Medicine Physician 207Q00000X 05-39885 KS
Obesity Medicine (Family Medicine) Physician 207QB0002X 05-39885 KS
Family Medicine Physician 207Q00000X 2009018145 MO Primary

Addresses

Primary practice location

850 N Hillside St
Wichita, KS 67214-4914

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

850 N Hillside St
Wichita, KS 67214-4914
Phone (316) 962-2000 ext. 27327

Other identifiers 2

IdentifierTypeStateIssuer
204300404MedicaidMO
COA107561MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000512 MO Practitioner - Family Practice 4688842040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

501 N Old Wilderness Rd
Coxhealth Nixa
Nixa, MO 65714-9490
Phone (417) 269-2227

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
50949COMDFamily Medicine Physician
2009018145MOMDFamily Medicine Physician
05-39885KSMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Family Medicine CurrentSince Aug 2, 2022 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Aug 2, 2022 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1423 N Jefferson Ave
#B100
Springfield, MO 65802
Phone (417) 269-8817

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1508020165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144914",
            "telephone_number": "316-962-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 N Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144914",
            "country_code": "US",
            "telephone_number": "316-962-2000 x27327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARRIS",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39885",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "KS",
            "license": "05-39885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009018145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204300404",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COA107561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.