Jacqueline Beverlin
Individual provider Active NPI Obstetrics & Gynecology Physician · Wichita, KS
NPI 1659995017 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1659995017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 05-49545 (KS)
- Practice address
- 3232 E Murdock St
Wichita, KS 67208-3003 - Phone
- (316) 685-7234
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associates in Womens Health PA
Practice addresses (Care Compare)
3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240813002620 | KS | Practitioner - Obstetrics/Gynecology | 7315362530 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Womens Health PA | Obstetrics & Gynecology | Current |
Accepting new patients |
| Wesley Physicians Medical Specialties LLC | Current |
Accepting new patients | |
| Kansas Physicians Group, LLC | Past | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
3243 E Murdock St
Ste Lvlg
Wichita, KS 67208
Phone (316) 962-2080
2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690
8710 W 13th St N
Ste 100
Wichita, KS 67212
Phone (316) 722-5141
8710 W 13th St N
Ste 102
Wichita, KS 67212
Phone (316) 260-6363
3232 E Murdock St
Wichita, KS 67208
Phone (316) 681-0251
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 05-49545 | KS | Yes |
Addresses
Primary practice location
3232 E Murdock St
Wichita, KS 67208-3003
Mailing address
3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234
Other providers in Wichita, KS
- Better Life Therapy LLC
- Betty K. Skinner, Lscsw, Inc.
- Matthew Ryan Bevens
- McKensie Bevens
- Kylee Beverage
- Owen Beverlin
- Alessandra Jeanine Bevilacqua
- Kristen Bevilacqua
- Denae Marguerite Beville
- Janie Bey
All providers in Wichita, KS · Obstetrics & Gynecology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.