Individual provider Active NPI

Jessa Kennedy, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1679879571
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
80791 Issued in KS
Practice address
634 SW Mulvane St Ste 209
Topeka, KS 66606-1678
Phone
(785) 295-5330
Fax
(785) 295-5355
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 188050 CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP-990139 CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 80791 KS Primary

Addresses

Primary practice location

634 SW Mulvane St Ste 209
Topeka, KS 66606-1678

Mailing address

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8000

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
I20220823003854 KS Practitioner - Nurse Practitioner 0749441814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

634 SW Mulvane St
Suite 209
Topeka, KS 66606-1678
Phone (785) 295-5330

Hospital & facility affiliations

  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188050COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Jul 25, 2022 Accepting new patients
Topeka Physician Group, LLC CurrentSince Jul 25, 2022 Accepting new patients

Locations

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1700 SW 7th St
Fl 2
Topeka, KS 66606
Phone (785) 295-7800

634 SW Mulvane St
Ste 209
Topeka, KS 66606
Phone (785) 295-5330

Interoperability endpoints

  • Direct secure messaging: jkennedy495932@ahs.direct-ci.com

Organizations & group practices 2

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 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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1679879571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062489",
            "telephone_number": "785-295-8000",
            "fax_number": "785-295-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST STE 209",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-295-5330",
            "fax_number": "785-295-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "188050",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CO",
            "license": "NP-990139",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KS",
            "license": "80791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.