Individual provider Active NPI

Jena L Fry, PA-C

  • Physician Assistant
  • Garden City, KS
National Provider Identifier
1811909609
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500856 Issued in KS
Practice address
712 Saint John St
Garden City, KS 67846-5128
Phone
(620) 275-1766
NPI assigned
Aug 12, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500856 KS Primary

Addresses

Primary practice location

712 Saint John St
Garden City, KS 67846-5128

Mailing address

712 Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

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
I20151102000675 KS Practitioner - Physician Assistant 1153631247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00856KSMDAudiologist
1500856KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Sep 20, 2015 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Sep 20, 2015 Accepting new patients
United Methodist Western Kansas Mexican American Ministries,Inc. Past Accepting new patients

Locations

1700 Avenue F
Dodge City, KS 67801
Phone (620) 225-6821

712 Saint John St
Garden City, KS 67846
Phone (620) 271-7400

712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766

2330 N Kansas Ave
Liberal, KS 67901
Phone (620) 624-0463

113 S Main St
Ste E
Ulysses, KS 67880
Phone (620) 356-2432

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

Hospital & facility affiliations 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1811909609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "JENA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.