NPIMap

Individual provider Active NPI

Kimberly J Janzen, MD

  • Emergency Medicine Physician
  • McPherson, KS
National Provider Identifier
1508976994
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-26791 Issued in KS
Practice address
1325 Highland Dr
McPherson, KS 67460-2707
Phone
(620) 245-0199
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-26791 KS Primary
Family Medicine Physician 207Q00000X 04-26791 KS

Addresses

Primary practice location

1325 Highland Dr
McPherson, KS 67460-2707

Mailing address

1325 Highland Dr
McPherson, KS 67460-2707

Other identifiers 2

IdentifierTypeStateIssuer
100321520BMedicaidKS
100321520GMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322001069 KS Practitioner - Emergency MedicinePractitioner - Family Practice 5991751034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

Hospital & facility affiliations

  • McPherson Hospital Hospital, McPherson, KS, CCN 170105

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26791KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Hospital, Inc. Family Medicine Current Accepting new patients
Family Practice Associates of McPherson, L.L.P. Family Medicine Current Accepting new patients
Galichia Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Four Chambers Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Central Kansas Emergency Physicians Emergency Medicine Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Emergency Specialty Services Affiliates, LLC Emergency Medicine Past Accepting new patients

Locations

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

Organizations & group practices 10

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1508976994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HIGHLAND DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HIGHLAND DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602707",
            "telephone_number": "620-245-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZEN",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-26791",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100321520B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100321520G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.