Individual provider Active NPI

Deann Jenkins, MD

  • Psychiatry Physician
  • Wichita, KS
National Provider Identifier
1811939671
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-22662 Issued in KS
Practice address
1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875
Phone
(316) 660-9600
Fax
(316) 660-9660
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-22662 KS Primary

Addresses

Primary practice location

1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875

Mailing address

635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7600

Other identifiers 2

IdentifierTypeStateIssuer
4109OtherKSPREFERRED HEALTH SYSTEMS
104461OtherKSBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120001073 KS Practitioner - PsychiatryPractitioner - Pediatric Medicine 4385693977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-22662KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Locations

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

1929 W 21st St N
Wichita, KS 67203
Phone (316) 660-7700

7701 E Kellogg Dr
Ste 300
Wichita, KS 67207
Phone (316) 660-9600

Interoperability endpoints

  • Direct secure messaging: deann.jenkins@khindirect.org

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1811939671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7600",
            "fax_number": "316-383-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 N WOODLAWN ST STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081875",
            "telephone_number": "316-660-9600",
            "fax_number": "316-660-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DEANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-22662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "4109",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "104461",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.