Active NPI
Deann Jenkins, MD
- Psychiatry Physician
- Wichita, KS
National Provider Identifier
1811939671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 04-22662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4109 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 104461 | Other | KS | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-22662 | KS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sedgwick | Current | Accepting new patients | |
| County of Sedgwick | Past | 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
- 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.
-
- Public Health or Welfare Agency
- Wichita, KS
- NPI 1629281373
-
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1982351706
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.