Individual provider Active NPI

Jenna Hornbeck, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1770038523
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121428 Issued in FL
Practice address
6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049
Phone
(785) 843-9125
Fax
(785) 843-3176
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6415 SC
Physician Assistant 363A00000X 13924 GA
Physician Assistant 363A00000X 3427 NE
Physician Assistant 363A00000X 085012098 IL
Physician Assistant 363A00000X 14273801-1206 UT
Physician Assistant 363A00000X PA.PA.70093833 WA
Physician Assistant 363A00000X PA9121428 FL Primary
Physician Assistant 363A00000X 2022013933 MO
Physician Assistant 363A00000X PA3876 KY
Physician Assistant 363A00000X 15-01940 KS
Physician Assistant 363A00000X PA2026-0091 NM
Physician Assistant 363A00000X 136955 IA
Physician Assistant 363A00000X 5963 OK

Addresses

Primary practice location

6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049

Mailing address

6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049
Phone (785) 843-9125

Other names 1

  • Jenna Veldhuizen 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
I20161102000284 KS Practitioner - Physician Assistant 1254619802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3427NEMDMental Health Counselor
PA9121428FLMDPhysician Assistant
13924GAMDPhysician Assistant
136955IAMDPhysician Assistant
085012098ILMDPhysician Assistant
2022013933MOMDPhysician Assistant
14273801-1206UTMDPhysician Assistant
PA.PA.70093833WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Nov 20, 2019 Accepting new patients
Lawrence Physicians LLC CurrentSince Nov 20, 2019 Accepting new patients

Locations

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1112 W 6th St
Ste 124
Lawrence, KS 66044
Phone (785) 838-7846

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

6265 Rock Chalk Dr
Unit 1500
Lawrence, KS 66049
Phone (785) 505-5815

Interoperability endpoints

  • Direct secure messaging: jenna.hornbeck.1@13869.direct.athenahealth.com
  • Direct secure messaging: jenna.veldhuizen@comcarepa.gwaydirect.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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1770038523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "address_2": "SUITE 1500",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-843-9125",
            "fax_number": "785-843-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "address_2": "SUITE 1500",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-843-9125",
            "fax_number": "785-843-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBECK",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6415",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13924",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3427",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085012098",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14273801-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.70093833",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121428",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022013933",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3876",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01940",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2026-0091",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136955",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "VELDHUIZEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.