Individual provider Active NPI

Jennifer Lynn Antrim, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1710370697
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76747-092 Issued in KS
Practice address
6001 SW 6TH Ave Ste 220
Topeka, KS 66615-1004
Phone
(785) 232-0444
Fax
(785) 232-1562
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76747-092 KS Primary

Addresses

Primary practice location

6001 SW 6TH Ave Ste 220
Topeka, KS 66615-1004

Mailing address

3405 NW Hunters Ridge Terrace Suite 100
Topeka, KS 66618-2510
Phone (785) 246-3733

Other practice location 1

305 W 15th St
Suite 103
Liberal, KS 67901-2455
Phone (620) 624-0729

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
I20150506000700 KS Practitioner - Nurse Practitioner 7911226352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uk St Francis Urgent CareGroup PAC ID 2961827902, 12 clinicians
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1101 SW 29TH St
Topeka, KS 66611-1200
Phone (785) 379-4600

3310 SE 29TH St
Suite 300
Topeka, KS 66605-2095
Phone (785) 588-4890

6001 SW 6TH Ave
Suite 200
Topeka, KS 66615-1004
Phone (785) 233-7491

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76747-092KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Jun 15, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

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

3405 NW Hunters Ridge Ter
Ste 100
Topeka, KS 66618
Phone (785) 246-3733

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

6001 SW 6th Ave
Ste 220
Topeka, KS 66615
Phone (785) 232-0444

6001 SW 6th Ave
Ste 200
Topeka, KS 66615
Phone (785) 233-7491

3405 NW Hunters Ridge Ter
Topeka, KS 66618
Phone (785) 246-3733

Interoperability endpoints

  • Direct secure messaging: jantrim1092131@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 1

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1710370697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW HUNTERS RIDGE TERRACE SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182510",
            "telephone_number": "785-246-3733",
            "fax_number": "785-246-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE STE 220",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151004",
            "telephone_number": "785-232-0444",
            "fax_number": "785-232-1562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 15th St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012455",
            "country_code": "US",
            "telephone_number": "620-624-0729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTRIM",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76747-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.