Individual provider Active NPI

Hannah Jenkins, ARPN, FNP-C

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1760888671
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76502 Issued in KS
Practice address
11725 W 112TH St
Overland Park, KS 66210-2761
Phone
(913) 469-5579
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76502 KS Primary
Family Nurse Practitioner 363LF0000X 53-76502 KS

Addresses

Primary practice location

11725 W 112TH St
Overland Park, KS 66210-2761

Mailing address

11725 W 112TH St
Overland Park, KS 66210-2761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hannah.jenkins@cpfc.eclinicaldirectplus.com

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
I20150113000632 KS Practitioner - Nurse Practitioner 2567786965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76502KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC CurrentSince Dec 15, 2014 Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients
College Park Family Care Center PA Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

11725 W 112th St
Ste 101
Overland Park, KS 66210

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

Interoperability endpoints

  • Direct secure messaging: hannah.jenkins@hca2.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1760888671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "HANNAH",
        "credential": "ARPN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76502",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah.jenkins@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11725 W 112th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662102761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.