Individual provider Active NPI

Jacob Hessman, M.D.

  • Pediatrics Physician
  • Salina, KS
National Provider Identifier
1629431663
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0442048 Issued in KS
Practice address
501 S. Santa Fe Ave
Suite 100
Salina, KS 67401
Phone
(785) 825-2273
Fax
(785) 825-2275
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0442048 KS Primary

Addresses

Primary practice location

501 S. Santa Fe Ave
Suite 100
Salina, KS 67401

Mailing address

501 S. Santa Fe Ave
Suite 100
Salina, KS 67401
Phone (785) 825-2273

Other identifiers 1

IdentifierTypeStateIssuer
201245470AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190701002413 KS Practitioner - Pediatric MedicinePractitioner - Hospitalist 6103113998 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0442048KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center, Inc Hospitalist Current Accepting new patients
Salina Regional Health Center, Inc. CurrentSince Jul 19, 2022 Accepting new patients
Comcare, P.a Past Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients

Locations

501 S Santa Fe Ave
Ste 100
Salina, KS 67401
Phone (785) 827-9631

2265 S 9th St
Salina, KS 67401
Phone (785) 452-6000

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Interoperability endpoints

  • Direct secure messaging: jacob.hessman@srhcdirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1629431663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-2273",
            "fax_number": "785-825-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-2273",
            "fax_number": "785-825-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSMAN",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0442048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201245470A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.