NPIMap

Individual provider Active NPI

Jessica Onken, PA-C

  • Physician Assistant
  • Great Bend, KS
National Provider Identifier
1649917295
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02656 Issued in KS
Practice address
1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone
(620) 792-4383
Fax
(620) 792-2058
NPI assigned
May 16, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02656 KS Primary

Addresses

Primary practice location

1514 K 96 Hwy
Great Bend, KS 67530-3012

Mailing address

1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone (620) 792-4383

Other practice location 1

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019001133 KS Practitioner - Physician Assistant 6002282878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukhs Great Bend LLCGroup PAC ID 5597016378, 64 clinicians

Practice addresses (Care Compare)

1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone (620) 792-4383

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02656KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ukhs Great Bend, LLC Physician Assistant CurrentSince Sep 19, 2022 Accepting new patients

Locations

1514 K 96 Hwy
Great Bend, KS 67530
Phone (620) 792-4383

1514 State Road 96
Great Bend, KS 67530
Phone (620) 792-4383

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1649917295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 K 96 HWY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303012",
            "telephone_number": "620-792-4383",
            "fax_number": "620-792-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 K 96 HWY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303012",
            "telephone_number": "620-792-4383",
            "fax_number": "620-792-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303562",
            "country_code": "US",
            "telephone_number": "620-792-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONKEN",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.