Individual provider Active NPI

Jennifer Louise Owen, APRN

  • Family Nurse Practitioner
  • Winfield, KS
National Provider Identifier
1548864838
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79592-041 Issued in KS
Practice address
1300 E 5TH Ave
Winfield, KS 67156-2407
Phone
(620) 221-2300
NPI assigned
Nov 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 53-79592-041 KS Primary

Addresses

Primary practice location

1300 E 5TH Ave
Winfield, KS 67156-2407

Mailing address

415 McCabe St
Winfield, KS 67156-2515
Phone (620) 262-7107

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
I20210817003221 KS Practitioner - Nurse Practitioner 9436554268 Reassigns benefits to 2 organizations

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
William Newton Memorial HospitalGroup PAC ID 5294648937, 45 clinicians

Practice addresses (Care Compare)

1300 E 5TH Ave
Winfield, KS 67156-2407
Phone (620) 221-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79592-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Newton Memorial Hospital CurrentSince Aug 11, 2021 Accepting new patients
William Newton Memorial Hospital CurrentSince Aug 11, 2021 Accepting new patients

Locations

1230 E 6th Ave
Ste 2B
Winfield, KS 67156
Phone (620) 221-7669

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

1230 E 6th Ave
Ste 1B
Winfield, KS 67156
Phone (620) 221-4000

Organizations & group practices 2

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": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1548864838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MCCABE ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562515",
            "telephone_number": "620-262-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 5TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562407",
            "telephone_number": "620-221-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79592-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.