Jennifer Bacani McKenney, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6572 Issued in KS

Practice address

1525 Madison St
Suite 3
Fredonia, KS 66736-1751

Phone

(630) 378-3700

NPI assigned

Apr 24, 2007

Last updated

Nov 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jennifer Bacani McKenney, MD, LLCGroup PAC ID 0749581262, 6 clinicians

Fredonia Regional HospitalGroup PAC ID 5294783270, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Town Health Care Home health agency, Fredonia, KS, CCN 178068
• Home Town Hospice Hospice, Independence, KS, CCN 171586
• Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
• Wilson Medical Center Hospital, Neodesha, KS, CCN 171344
• Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/

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.

• Jennifer Bacani McKenney, MD, LLC

  • Family Medicine Physician
  • Fredonia, KS
  • NPI 1750754610
  Medicare reassignment Care Compare group NPD Authorized official
• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Medicare reassignment Care Compare group NPD
• Fredonia Regional Hospital

  dba Drs. Morris and Hill Medical Clinic

  • Rural Health Clinic/Center
  • Fredonia, KS
  • NPI 1639957673
  NPD
• Oswaldo C Bacani MD Chartered

  • General Practice Physician
  • Fredonia, KS
  • NPI 1407183494
  NPD

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

• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Care Compare affiliation
• Home Town Health Care LLC

  dba Home Town Hospice

  • Community Based Hospice Care Agency
  • Independence, KS
  • NPI 1982075693
  Care Compare affiliation
• Home Town Health Care, LLC

  dba Home Town Health Care

  • Home Health Agency
  • Fredonia, KS
  • NPI 1225149586
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  dba NMRMC Women's Health Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469

  Hospital

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  dba NMRMC Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211

  Hospital

  Care Compare affiliation
• Wilson County Hospital

  • Critical Access Hospital
  • Neodesha, KS
  • NPI 1669441176
  Care Compare affiliation

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1689893448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MADISON ST STE 3",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361704",
            "telephone_number": "620-378-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MADISON ST",
            "address_2": "SUITE 3",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361751",
            "telephone_number": "630-378-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "JENNIFER",
        "middle_name": "BACANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1524",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "1689893448",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531470B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Lynn Hill, M.D.
• Home Town Health Care, LLC (Home Town Health Care)
• Jennifer Bacani McKenney, MD, LLC
• Jenessa D Kleopfer, PA
• Terry Lea Marr
• Medicalodges, Inc. (Gran Villas Kansas City)
• Morningstar Care Homes, LLC (Morningstar Care Homes of Fredonia)
• Terry L Morris, D.O.
• Megan Glyn Noland, NP
• Kelly Odell, APRN

• Family Medicine Physician in Fredonia, KS
• Providers in Fredonia, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.