Individual provider Active NPI

Jennifer Pearl Ebert, FNP

  • Family Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1669619516
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75858 Issued in KS
Practice address
222 N 6TH St Ste 100
Manhattan, KS 66502-4956
Phone
(785) 320-7134
NPI assigned
Jan 14, 2009
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 188976 CO
Family Nurse Practitioner 363LF0000X 5953 CO
Family Nurse Practitioner 363LF0000X 75858 KS Primary

Addresses

Primary practice location

222 N 6TH St Ste 100
Manhattan, KS 66502-4956

Mailing address

361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711

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
I20130311000283 KS Practitioner - Nurse Practitioner 7416006952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 N 6TH St
Suite 100
Manhattan, KS 66502-4956
Phone (785) 320-7134

361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5953COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Konza Prairie Community Health Center, Inc. CurrentSince Nov 19, 2012 Accepting new patients
Konza Prairie Community Health Center, Inc. CurrentSince Nov 19, 2012 Accepting new patients
Konza Prairie Community Health Center, Inc. Past Accepting new patients

Locations

361 Grant Ave
Junction City, KS 66441
Phone (785) 238-4711

222 N 6th St
Ste 100
Manhattan, KS 66502
Phone (785) 320-7134

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFCAD

Organizations & group practices 3

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 1

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1669619516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GRANT AVE",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414201",
            "telephone_number": "785-238-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 6TH ST STE 100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024956",
            "telephone_number": "785-320-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "JENNIFER",
        "middle_name": "PEARL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "188976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "5953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.