Individual provider Active NPI

Jenny L Niblock, ARNP

  • Nurse Practitioner
  • Colby, KS
National Provider Identifier
1841221371
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44744 Issued in KS
Practice address
310 E College Dr
Colby, KS 67701-3716
Phone
(785) 462-6184
Fax
(785) 460-1490
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44744 KS Primary

Addresses

Primary practice location

310 E College Dr
Colby, KS 67701-3716

Mailing address

310 E College Dr
Colby, KS 67701-3716
Phone (785) 462-6184

Other identifiers 2

IdentifierTypeStateIssuer
44744OtherKSKANSAS LICENSE
100342210BMedicaidKS

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
I20100602000457 KS Practitioner - Nurse Practitioner 4486657442 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44744KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Citizens Medical Center, Inc Current Accepting new patients
Citizens Medical Center Inc CurrentSince Aug 4, 2024 Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients
Citizens Medical Center, Inc. Past Accepting new patients

Locations

310 E College Dr
Colby, KS 67701
Phone (785) 462-6184

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

Interoperability endpoints

  • Direct secure messaging: jniblock661405@direct.ochin.org
  • Direct secure messaging: jenny.niblock@khindirect.org

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1841221371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184",
            "fax_number": "785-460-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013716",
            "telephone_number": "785-462-6184",
            "fax_number": "785-460-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBLOCK",
        "first_name": "JENNY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "44744",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100342210B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.