Jessica N Lynch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02917 Issued in KS

Practice address

4201B Anderson Ave Ste 2
Manhattan, KS 66503-7601

Phone

(785) 320-7774

Fax

(785) 320-7758

NPI assigned

May 13, 2021

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Shelton Former name

Medicare fee-for-service enrollment

Enrolled in TN, FL, KS3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3694/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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.

• Kansas Medical Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Topeka, KS
  • NPI 1508877523

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Davis Dermatology, PA

  • Procedural Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1104330224
  Medicare reassignment
• Tanenbaum Dermatology Center PLC

  • Dermatology Physician
  • Memphis, TN
  • NPI 1144413147
  Medicare reassignment
• Kansas Medical Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Topeka, KS
  • NPI 1467825679
  NPD (past)
• Tratan LLC

  dba Treatment Rooms of America TAN

  • Clinic/Center
  • Memphis, TN
  • NPI 1134427396
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1649844820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201B ANDERSON AVE STE 2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037601",
            "telephone_number": "785-320-7774",
            "fax_number": "785-320-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SHELTON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xiao Lu, DO
• Delaney Elizabeth Lucero
• Jayme Lundberg
• Laura Marie Lyddon, LSCSW
• Jessica Lyke, LSCSW
• Quinten Lynn, PH.D.
• Frank C Lyons Jr., MD
• Melizabeth Ritchie Maatta, AUD
• Jennifer Macfadyen, ATC, LAT
• Gabriel Macfee

• Physician Assistant in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.

Verify at the official NPI Registry.