NPIMap

Individual provider Active NPI

Jason Wesley Nugent, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1730334475
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7114 Issued in KS
Practice address
855 N Hillside St
Wichita, KS 67214-4913
Phone
(316) 685-1381
Fax
(316) 866-2495
NPI assigned
Nov 21, 2008
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7114 KS Primary

Addresses

Primary practice location

855 N Hillside St
Wichita, KS 67214-4913

Mailing address

855 N Hillside St
Wichita, KS 67214-4913
Phone (316) 685-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000475 KS Practitioner - Family Practice 7719002666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Medical Office LLCGroup PAC ID 6709823453, 9 clinicians

Practice addresses (Care Compare)

855 N Hillside St
Wichita, KS 67214-4913
Phone (316) 719-1554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
71.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7114KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Medical Office LLC Family Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

855 N Hillside St
Wichita, KS 67214
Phone (316) 685-1381

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECFFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1730334475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-1381",
            "fax_number": "316-866-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-1381",
            "fax_number": "316-866-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "JASON",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.