NPIMap

Individual provider Active NPI

Shana Jarmer, MD

  • Family Medicine Physician
  • Wellington, KS
National Provider Identifier
1699842799
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0431417 Issued in KS
Practice address
507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone
(620) 326-3301
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0431417 KS Primary

Addresses

Primary practice location

507 E 16TH St Ste 1
Wellington, KS 67152-2828

Mailing address

507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Other identifiers 12

IdentifierTypeStateIssuer
106743OtherBCBS OF KANSAS
1255500633OtherKSNON RHC NPI CLINIC
15575OtherPREFERRED PLUS OF KANSAS
281367802OtherUNITED HEALTH CARE
324285OtherCOVENTRY
792977001OtherCIGNA
P00890504OtherKSMEDICARE RAILROAD PTAN
1437283991OtherGROUP NPI
200371170CMedicaidKS
0431417OtherKSLICENSE
9593105OtherAETNA
CS5682OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000385 KS Practitioner - Family Practice 5698784288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner County Family Care Center PAGroup PAC ID 7719973585, 8 clinicians

Practice addresses (Care Compare)

507 E 16TH St
Suite 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0431417KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

102 E Main St
Mulvane, KS 67110
Phone (316) 777-0106

507 E 16th St
Ste 1
Wellington, KS 67152
Phone (620) 326-2865

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

Interoperability endpoints

  • Direct secure messaging: shane.jarmer@khindirect.org

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 7

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1699842799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMER",
        "first_name": "SHANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0431417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "106743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON RHC NPI CLINIC",
            "identifier": "1255500633",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PLUS OF KANSAS",
            "identifier": "15575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "281367802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "324285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "792977001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00890504",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1437283991",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371170C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0431417",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9593105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS5682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.