Individual provider Active NPI

Jaimie Perry, NP-C

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1740821024
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78865-082 Issued in KS
Practice address
3801 S Oliver St
Wichita, KS 67210-2112
Phone
(316) 526-3511
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78865-082 KS Primary

Addresses

Primary practice location

3801 S Oliver St
Wichita, KS 67210-2112

Mailing address

8500 N 103Rd St W
Valley Center, KS 67147-8125
Phone (316) 807-1578

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
I20200702002266 KS Practitioner - Nurse Practitioner 6507289881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Care Plus of Overland Park LLCGroup PAC ID 8123153939, 26 clinicians
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

1100 N 4TH St
Leavenworth, KS 66048-1572
Phone (913) 297-9945

1261 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 773-2733

2001 N Rock Rd
Derby, KS 67037-3795
Phone (316) 788-1437

231 S Andover Rd
Andover, KS 67002-7919
Phone (316) 733-9355

3006 S Seneca St
Wichita, KS 67217-3210
Phone (316) 522-4635

7107 S Meridian St
Haysville, KS 67060-7678
Phone (316) 858-8580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78865-082KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Plus of Overland Park, LLC CurrentSince Oct 11, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 1, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 1, 2020 Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

3800 10th St
Great Bend, KS 67530
Phone (620) 603-4216

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 4

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1740821024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N 103RD ST W",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671478125",
            "telephone_number": "316-807-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102112",
            "telephone_number": "316-526-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAIMIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78865-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.