Active NPI
Jena L Fry, PA-C
- Physician Assistant
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500856
- Practice address
- 712 Saint John St
Garden City, KS 67846-5128 - Phone
- (620) 275-1766
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Garden City, KS
- NPI 1104072487
-
- Federally Qualified Health Center (FQHC)
- Dodge City, KS
- NPI 1275337982
-
- Federally Qualified Health Center (FQHC)
- Dodge City, KS
- NPI 1356065015
-
- Federally Qualified Health Center (FQHC)
- Dodge City, KS
- NPI 1528254463
-
- Federally Qualified Health Center (FQHC)
- Ulysses, KS
- NPI 1609224658
-
- Federally Qualified Health Center (FQHC)
- Garden City, KS
- NPI 1730174228
-
- Federally Qualified Health Center (FQHC)
- Liberal, KS
- NPI 1871789719
-
- Clinic Pharmacy
- Garden City, KS
- NPI 1992342489
-
- Federally Qualified Health Center (FQHC)
- Dodge City, KS
- NPI 1174669303
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
Care Compare affiliation Hospital -
- Home Health Agency
- Garden City, KS
- NPI 1154339224
Care Compare affiliation Home health agency
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
- United Methodist Western Kansas Mexican-American Ministries, Inc.
Practice addresses (Care Compare)
712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766
Hospital & facility affiliations
- Wildcat PT Home Health
- St. Catherine Hospital - Garden City
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151102000675 | KS | Practitioner - Physician Assistant | 1153631247 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00856 | KS | MD | Audiologist |
| 1500856 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Current | Accepting new patients | |
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Current | 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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500856 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100450410A | Medicaid | KS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2026.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100450410A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.