Individual provider Active NPI

Janie Peters

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1700274065
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76568 Issued in KS
Practice address
1130 N Kansas Ave
Topeka, KS 66608-1244
Phone
(785) 354-1777
Fax
(785) 354-8577
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76568 KS Primary

Addresses

Primary practice location

1130 N Kansas Ave
Topeka, KS 66608-1244

Mailing address

1130 N Kansas Ave
Topeka, KS 66608-1244
Phone (785) 354-1777

Other identifiers 2

IdentifierTypeStateIssuer
201109910AMedicaidKS
068002300OtherKSMEDICARE PTAN

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
I20150420001813 KS Practitioner - Nurse Practitioner 6608194808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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)

403 Sycamore St
Valley Falls, KS 66088-1318
Phone (785) 945-3263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76568KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Jun 13, 2023 Accepting new patients
Topeka Physician Group, LLC Current Accepting new patients

Locations

1101 SW 29th St
Topeka, KS 66611
Phone (785) 379-4600

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

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

403 Sycamore St
Valley Falls, KS 66088
Phone (785) 865-7512

Interoperability endpoints

  • Direct secure messaging: jpeters14519@stormontvaildirect.org
  • Direct secure messaging: jpeters878123@ahs.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1700274065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666081244",
            "telephone_number": "785-354-1777",
            "fax_number": "785-354-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666081244",
            "telephone_number": "785-354-1777",
            "fax_number": "785-354-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201109910A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002300",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.