Active NPI
Jesse T Watts, PA-C
- Physician Assistant
- Olathe, KS
National Provider Identifier
1700969730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1501053
- Practice address
- 153 W 151St St
#100
Olathe, KS 66061-5348 - Phone
- (913) 764-1125
- Fax
- (913) 764-1186
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1501053 | KS | Primary |
Addresses
Primary practice location
153 W 151St St
#100
Olathe, KS 66061-5348
Mailing address
153 W 151St St
#100
Olathe, KS 66061-5348
Phone (913) 764-1125
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 W 151St St
Olathe, KS 66061-5300
Phone (913) 764-1125
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.01 of 100
- Quality
- 61.61
- Improvement activities
- 40
- Cost
- 81.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Dermatology Physician
- Olathe, KS
- NPI 1457642845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1700969730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W 151ST ST",
"address_2": "#100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615348",
"telephone_number": "913-764-1125",
"fax_number": "913-764-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W 151ST ST",
"address_2": "#100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615348",
"telephone_number": "913-764-1125",
"fax_number": "913-764-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JESSE",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1501053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.