Individual provider Active NPI

Jettie D Leger, APRN

  • Family Nurse Practitioner
  • Salina, KS
National Provider Identifier
1659983575
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79631 Issued in KS
Practice address
2090 S Ohio St
Salina, KS 67401-6702
Phone
(785) 825-8221
Fax
(785) 452-7530
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-79631-101 KS
Family Nurse Practitioner 363LF0000X 53-79631 KS Primary

Addresses

Primary practice location

2090 S Ohio St
Salina, KS 67401-6702

Mailing address

2090 S Ohio St
Salina, KS 67401-6702
Phone (785) 825-8221

Other identifiers 1

IdentifierTypeStateIssuer
30004725230001MedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002306 KS Practitioner - Nurse Practitioner 0840619599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

2090 S Ohio St
Salina, KS 67401-6702

400 S Santa Fe Ave
Salina, KS 67401-4144

520 S Santa Fe Ave
Salina, KS 67401-4190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79631KSMDFamily Nurse Practitioner
53-79631-101KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince Jun 1, 2022 Accepting new patients
Salina Regional Health Center, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Comcare, P.a Past Accepting new patients

Locations

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

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

2090 S Ohio St
Salina, KS 67401
Phone (785) 309-2323

520 S Santa Fe Ave
Ste 300
Salina, KS 67401
Phone (785) 309-0012

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.

Hospital & facility affiliations 5

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1659983575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016702",
            "telephone_number": "785-825-8221",
            "fax_number": "785-452-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016702",
            "telephone_number": "785-825-8221",
            "fax_number": "785-452-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "JETTIE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79631-101",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004725230001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.