Individual provider Active NPI

Jill Litwiller, APRN

  • Pediatric Nurse Practitioner
  • Newton, KS
National Provider Identifier
1720099773
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
44368 Issued in KS
Practice address
720 Medical Center Dr
Newton, KS 67114-8778
Phone
(316) 283-3600
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 44368 KS Primary

Addresses

Primary practice location

720 Medical Center Dr
Newton, KS 67114-8778

Mailing address

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Other practice location 1

7732 NW 12th St
Newton, KS 67114-8669
Phone (316) 651-6963

Other identifiers 4

IdentifierTypeStateIssuer
6678OtherKSPHS
161045OtherKSBCBS
30004392120005MedicaidKS
100356420AMedicaidKS

Other names 1

  • Jill Brandt Former name

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
I20140514001064 KS Practitioner - Nurse Practitioner 7315160660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44368KSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc Current Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Jan 9, 2018 Accepting new patients
Health Ministries Clinic, Inc. CurrentSince Jan 9, 2018 Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

700 Medical Center Dr
Ste 101
Newton, KS 67114
Phone (316) 283-0027

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

700 Medical Center Dr
Newton, KS 67114
Phone (316) 283-7100

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1720099773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-284-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7732 NW 12th St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671148669",
            "country_code": "US",
            "telephone_number": "316-651-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITWILLER",
        "first_name": "JILL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "44368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "6678",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161045",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004392120005",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100356420A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BRANDT",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.