Active NPI
Jenny A Manry, ARNP-C
- Nurse Practitioner
- Great Bend, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 45344
- Practice address
- 3520 Lakin Ave
Suite 103
Great Bend, KS 67530-3646 - Phone
- (620) 792-3345
- Fax
- (620) 792-3767
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 45344 | KS | Primary |
Addresses
Primary practice location
3520 Lakin Ave
Suite 103
Great Bend, KS 67530-3646
Mailing address
3520 Lakin Ave
Suite 103
Great Bend, KS 67530-3646
Phone (620) 792-3345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001980A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700
Hospital & facility affiliations
- Pawnee Valley Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45344 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Kansas Family Health Care, Inc. | Current | Accepting new patients | |
| Heart of Kansas Family Health Care, Inc. | Current | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients | |
| Hays Medical Center, Inc. | Past | Accepting new patients |
Locations
1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700
522 Broadway St
Larned, KS 67550
Phone (620) 804-6007
Interoperability endpoints
- jenny.manry@khindirect.org
- https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
- jenny.manry.1@20094.direct.athenahealth.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Great Bend, KS
- NPI 1184739443
-
- Federally Qualified Health Center (FQHC)
- Great Bend, KS
- NPI 1154136612
-
- Family Medicine Physician
- Great Bend, KS
- NPI 1467402040
-
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1568415396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 LAKIN AVE",
"address_2": "SUITE 103",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303646",
"telephone_number": "620-792-3345",
"fax_number": "620-792-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 LAKIN AVE",
"address_2": "SUITE 103",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303646",
"telephone_number": "620-792-3345",
"fax_number": "620-792-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRY",
"first_name": "JENNY",
"middle_name": "A",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "45344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200001980A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.