Individual provider Active NPI

Jeffrey M Waddell, ARNP, FNP-C

  • Nurse Practitioner
  • Ottawa, KS
National Provider Identifier
1811278872
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75481 Issued in KS
Practice address
107 S Main St
Ottawa, KS 66067-2327
Phone
(913) 648-2266
Fax
(877) 207-1146
NPI assigned
Sep 5, 2011
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 A132444 IA
Nurse Practitioner 363L00000X 75481 KS Primary

Addresses

Primary practice location

107 S Main St
Ottawa, KS 66067-2327

Mailing address

405 S Clairborne Rd Ste 2
Olathe, KS 66062-1774
Phone (913) 730-3674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120220000494 KS Practitioner - Nurse Practitioner 9931367141 Reassigns benefits to 1 organization
I20130307000365 IA Practitioner - Nurse Practitioner 9931367141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Partnership Clinic IncGroup PAC ID 6507033867, 11 clinicians
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

107 S Main St
Ottawa, KS 66067-2327
Phone (913) 648-2266

1604 Industrial Park Dr
Paola, KS 66071-9528
Phone (913) 648-2266

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A132444IAMDNurse Practitioner
75481KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Jul 23, 2018 Accepting new patients
Health Partnership Clinic, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Health Partnership Clinic, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Keokuk County Health Center Current Accepting new patients
Keokuk County Health Center CurrentSince Jul 23, 2018 Accepting new patients

Locations

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

405 S Clairborne Rd
Ste 2
Olathe, KS 66062
Phone (913) 390-7816

107 S Main St
Ottawa, KS 66067
Phone (913) 401-2750

1604 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-9223

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

Organizations & group practices 5

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 1

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": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1811278872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLAIRBORNE RD STE 2",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621774",
            "telephone_number": "913-730-3674",
            "fax_number": "913-768-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672327",
            "telephone_number": "913-648-2266",
            "fax_number": "877-207-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A132444",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.