Individual provider Active NPI

Jennifer Byerley, APRN

  • Nurse Practitioner
  • Chanute, KS
National Provider Identifier
1558728865
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
77101 Issued in KS
Practice address
629 S Plummer Ave
Chanute, KS 66720-6672
Phone
(620) 432-5580
Fax
(620) 431-0434
NPI assigned
Jan 19, 2016
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77101 KS Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-6672

Mailing address

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennybyerley@Neosho.CernerDirect.com

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
I20160212001644 KS Practitioner - Nurse Practitioner 7113221078 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Feb 1, 2016 Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Nmrmc Urology Clinic CurrentSince Feb 1, 2016 Accepting new patients

Locations

1409 W 7th St
Chanute, KS 66720
Phone (620) 431-0340

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

13920 Highway 59
Erie, KS 66733
Phone (620) 244-5700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
  • Direct secure messaging: jennybyerley@neosho.cernerdirect.com

Organizations & group practices 4

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1558728865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000",
            "fax_number": "620-432-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667206672",
            "telephone_number": "620-432-5580",
            "fax_number": "620-431-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERLEY",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "77101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennybyerley@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.