Active NPI
Jamison B Macke, PA
- Physician Assistant
- Manhattan, KS
National Provider Identifier
1649778242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-02076
- Practice address
- 1823 College Ave
Manhattan, KS 66502 - Phone
- (785) 776-2800
- Fax
- (785) 565-4754
- NPI assigned
- Jan 29, 2018
- Last updated
- May 12, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-02076 | KS | Primary |
Addresses
Primary practice location
1823 College Ave
Manhattan, KS 66502
Mailing address
1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604000488 | VT | Order and Referring Only - Otolaryngology | 5890050074 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526083200000",
"number": "1649778242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 COLLEGE AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023381",
"telephone_number": "785-776-2800",
"fax_number": "785-565-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 COLLEGE AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66502",
"telephone_number": "785-776-2800",
"fax_number": "785-565-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKE",
"first_name": "JAMISON",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-29",
"last_updated": "2018-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-02076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.