Jennifer Smith, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-00565 Issued in KS

Practice address

8020 E Central Ave Ste 200
Wichita, KS 67206-2382

Phone

(316) 636-2662

Fax

(316) 636-2644

NPI assigned

Jul 25, 2006

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

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium - Midwest, LLCGroup PAC ID 2163893348, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Intensive Care Consortium - Midwest, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1275278574
  Medicare reassignment Care Compare group
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953

  KS

  Medicare reassignment

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

• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700809498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E CENTRAL AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062382",
            "telephone_number": "316-636-2662",
            "fax_number": "316-636-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 E CENTRAL AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062382",
            "telephone_number": "316-636-2662",
            "fax_number": "316-636-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Anthony Smith, LCMFT
• Jamie L Smith
• Jeffrey Dean Smith, ATC
• Jeffrey Scott Smith, DDS
• Jennica Smith
• Jenny Smith
• Jessica Smith
• Jessica Renee Smith, LMSW
• Jessica Rose Smith, MD
• Jill A Smith, CRNA

• Medical Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.