Jessica Bradford

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15-02666 Issued in KS

Practice address

212 Main St
Minneola, KS 67865-8511

Phone

(620) 255-2917

NPI assigned

May 10, 2022

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minneola District Hospital NBR 2Group PAC ID 1355252545, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minneola District Hospital Hospital, Minneola, KS, CCN 171368
• Meade District Hospital Hospital, Meade, KS, CCN 171321
• Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Medicare reassignment Care Compare group NPD
• Minneola District Hospital NBR 2

  dba Dodge City Family Care Clinic

  • Rural Health Clinic/Center
  • Dodge City, KS
  • NPI 1376625749
  Medicare reassignment
• Minneola District Hospital NBR 2

  dba Family Care Clinic

  • Clinic/Center
  • Dodge City, KS
  • NPI 1447986757
  NPD

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Dodge City

  • General Acute Care Hospital
  • Dodge City, KS
  • NPI 1689317190
  Care Compare affiliation
• Meade Hospital District

  • Critical Access Hospital
  • Meade, KS
  • NPI 1922004076
  Care Compare affiliation
• Minneola District Hospital NBR 2

  • Critical Access Hospital
  • Minneola, KS
  • NPI 1013009828
  Care Compare affiliation

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1699411892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N WHITFIELD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061352",
            "telephone_number": "620-255-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678658511",
            "telephone_number": "620-255-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "15-02666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Crotts, APRN
• Halie Davis, PA-C
• Jan R Granados, PHARMD
• Jennifer Ann Imel, APRN
• JGS Health Services LLC (Minneola Pharmacy II LLC)

• Family Medicine Physician in Minneola, KS
• Providers in Minneola, 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 Dec 30, 2022; 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.