Individual provider Active NPI

Rachel Ann Jamison

  • Adult Health Nurse Practitioner
  • Independence, KS
National Provider Identifier
1861122483
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
84173 Issued in KS
Practice address
510 Peter Pan Rd
Independence, KS 67301-7301
Phone
(620) 331-4099
Fax
(620) 331-0447
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-89624-071 KS
Adult Health Nurse Practitioner 363LA2200X 84173 KS Primary

Addresses

Primary practice location

510 Peter Pan Rd
Independence, KS 67301-7301

Mailing address

818 N Emporia St Ste 403
Wichita, KS 67214-3728
Phone (316) 262-4467

Other practice location 1

1902 S US Highway 59 Ste 304
Parsons, KS 67357-4948
Phone (620) 421-2855

Other practice location 2

2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 331-4099

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
I20250128002591 KS Practitioner - Nurse Practitioner 8820527443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Center of Kansas PAGroup PAC ID 5395732820, 30 clinicians

Practice addresses (Care Compare)

510 Peter Pan Rd
Independence, KS 67301-7301
Phone (620) 331-4099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-89624-071KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Kansas, P.a. CurrentSince Dec 2, 2024 Accepting new patients
Cancer Center of Kansas, P.a. CurrentSince Dec 2, 2024 Accepting new patients

Locations

510 Peter Pan Rd
Independence, KS 67301
Phone (620) 331-4099

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

1902 S US Highway 59
Ste 304
Parsons, KS 67357
Phone (204) 212-8556

1902 S US Highway 59
Bldg E
Parsons, KS 67357
Phone (620) 421-1081

818 N Emporia St
Ste 403
Wichita, KS 67214
Phone (316) 613-4296

9050 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 219-9651

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.

Hospital & facility affiliations 7

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861122483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 403",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143728",
            "telephone_number": "316-262-4467",
            "fax_number": "316-262-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PETER PAN RD",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673017301",
            "telephone_number": "620-331-4099",
            "fax_number": "620-331-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 S US Highway 59 Ste 304",
            "address_purpose": "LOCATION",
            "city": "Parsons",
            "state": "KS",
            "postal_code": "673574948",
            "country_code": "US",
            "telephone_number": "620-421-2855",
            "fax_number": "620-421-2868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Ottawa Rd",
            "address_purpose": "LOCATION",
            "city": "Neodesha",
            "state": "KS",
            "postal_code": "667571897",
            "country_code": "US",
            "telephone_number": "620-331-4099",
            "fax_number": "620-325-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-89624-071",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "84173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

Verify at the official NPI Registry.