Active NPI
Christy J Jansen, MD
- Pediatrics Physician
- Emporia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0434074
- Practice address
- 1301 W 12TH Ave
Emporia, KS 66801-2587 - Phone
- (620) 343-2900
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0434074 | KS | Primary |
Addresses
Primary practice location
1301 W 12TH Ave
Emporia, KS 66801-2587
Mailing address
1301 W 12TH Ave
Emporia, KS 66801-2587
Phone (620) 343-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068002082 | Other | KS | MEDICARE PTAN |
| 200663500A | Medicaid | KS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjansen10181@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | cjansen10181@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 W 12TH Ave
Suite 401
Emporia, KS 66801-2591
Phone (620) 343-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0434074 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Newman Memorial County Hospital | Past | Accepting new patients |
Locations
1301 W 12th Ave
Emporia, KS 66801
Phone (620) 342-2521
1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900
901 SW Garfield Ave
Topeka, KS 66606
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1548466337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012587",
"telephone_number": "620-343-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012587",
"telephone_number": "620-343-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "CHRISTY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "0434074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068002082",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200663500A",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjansen10181@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1301 W 12th Ave",
"address_2": "Suite 401",
"city": "Emporia",
"state": "KS",
"country_code": "US",
"postal_code": "668012587",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjansen10181@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1301 W 12th Ave",
"address_2": "Suite 401",
"city": "Emporia",
"state": "KS",
"country_code": "US",
"postal_code": "668012587",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.